LISA M DYBALSKI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008557

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

DYBALSKI

Business Name

LISA M DYBALSKI

Original Issue Date

04/26/2019

Effective Date

09/10/2021

Expiration Date

09/30/2023

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

02/02/2024