LISA M KIM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003856

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

KIM

Business Name

LISA M KIM

Original Issue Date

07/16/2001

Effective Date

07/16/2001

Expiration Date

09/30/2005

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005