LARA M HOTCHKISS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003604

License Status

NOT RENEWED

Business

First Name

LARA

Middle

Last Name

HOTCHKISS

Business Name

LARA M HOTCHKISS

Original Issue Date

04/25/2000

Effective Date

08/22/2011

Expiration Date

09/30/2013

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/12/2013