LISA A BOURAZAK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008046

License Status

INACTIVE

Business

First Name

LISA A

Last Name

BOURAZAK

Business Name

LISA A BOURAZAK

Original Issue Date

01/26/1994

Effective Date

07/30/2008

Expiration Date

09/30/2010

City

GORHAM

State

Zip

04038

Ever Disciplined

LastModifiedDate

07/08/2010