LISA ALT ELDER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023462

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ALT

Last Name

ELDER

Business Name

LISA ALT ELDER

Original Issue Date

12/06/2017

Effective Date

07/18/2018

Expiration Date

09/30/2020

City

DERBY

State

Zip

67037

Ever Disciplined

LastModifiedDate

01/14/2021