KARISSA J PORTER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005906

License Status

NOT RENEWED

Business

First Name

KARISSA

Middle

Last Name

PORTER

Business Name

KARISSA J PORTER

Original Issue Date

12/15/2011

Effective Date

08/06/2013

Expiration Date

09/30/2015

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

11/03/2015