ALYSON COLLEEN MANVILLE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006063

License Status

INACTIVE

Business

First Name

ALYSON

Middle

COLLEEN

Last Name

MANVILLE

Business Name

ALYSON COLLEEN MANVILLE

Original Issue Date

08/08/2012

Effective Date

09/09/2015

Expiration Date

09/30/2017

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

07/07/2017