LISA MAISCH BRENNAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002596

License Status

NOT RENEWED

Business

First Name

LISA MAISCH

Last Name

BRENNAN

Business Name

LISA MAISCH BRENNAN

Original Issue Date

12/04/1996

Effective Date

09/26/2017

Expiration Date

09/30/2019

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

01/13/2020