LISA MAE HARTLINE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002929

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MAE

Last Name

HARTLINE

Business Name

LISA MAE HARTLINE

Original Issue Date

01/13/1998

Effective Date

10/03/2011

Expiration Date

09/30/2013

City

COBDEN

State

Zip

62920

County

UNION

Ever Disciplined

LastModifiedDate

11/12/2013