LISA C MINER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004900

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

MINER

Business Name

LISA C MINER

BusinessDBA

LISA C. HAWKINS

Original Issue Date

10/25/2007

Effective Date

09/19/2025

Expiration Date

09/30/2027

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

09/19/2025