LISA ANN MARTIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017440

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

MARTIN

Business Name

LISA ANN MARTIN

Original Issue Date

09/22/2009

Effective Date

09/15/2014

Expiration Date

09/30/2016

City

WOLVERINE LAKE

State

Zip

48390

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/26/2016