CARISSA L ATHANS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008795

License Status

NOT RENEWED

Business

First Name

CARISSA

Middle

Last Name

ATHANS

Business Name

CARISSA L ATHANS

Original Issue Date

10/28/2019

Effective Date

10/28/2019

Expiration Date

01/31/2022

City

POSEN

State

Zip

60469

Ever Disciplined

LastModifiedDate

05/19/2022