LYLA E KOOISTRA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009572

License Status

NOT RENEWED

Business

First Name

LYLA

Middle

Last Name

KOOISTRA

Business Name

LYLA E KOOISTRA

Original Issue Date

06/02/2022

Effective Date

05/23/2024

Expiration Date

09/30/2025

City

LANSING

State

Zip

60438

Ever Disciplined

LastModifiedDate

12/30/2025