KATHRYN A PORTILLA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018725

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

Last Name

PORTILLA

Business Name

KATHRYN A PORTILLA

Original Issue Date

08/18/2011

Effective Date

09/23/2016

Expiration Date

09/30/2018

City

DETROIT LAKES

State

Zip

56501

County

MINNESOTA

Ever Disciplined

LastModifiedDate

12/05/2018