LISA L OTTO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003452

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

OTTO

Business Name

LISA L OTTO

Original Issue Date

10/18/1999

Effective Date

10/18/1999

Expiration Date

09/30/2005

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005