LISA MARIE DEKAM Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012400

License Status

INACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

DEKAM

Business Name

LISA MARIE DEKAM

Original Issue Date

03/28/2001

Effective Date

03/28/2001

Expiration Date

09/30/2002

City

EDEN PRAIRIE

State

Zip

55346

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/17/2005