LISA R GAYLORD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005323

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

GAYLORD

Business Name

LISA R GAYLORD

Original Issue Date

10/21/2009

Effective Date

09/25/2017

Expiration Date

09/30/2019

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/13/2020