ELISA A MARCHAND Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004196

License Status

NOT RENEWED

Business

First Name

ELISA

Middle

Last Name

MARCHAND

Business Name

ELISA A MARCHAND

Original Issue Date

08/21/2003

Effective Date

10/01/2019

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/19/2022