KATHLEEN M CRISP Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003506

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

CRISP

Business Name

KATHLEEN M CRISP

Original Issue Date

10/29/1981

Effective Date

09/27/2016

Expiration Date

09/30/2018

City

EAST LANSING

State

Zip

48823

County

MICHIGAN

Ever Disciplined

LastModifiedDate

12/05/2018