LISA M FORD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000310

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

FORD

Business Name

LISA M FORD

Original Issue Date

07/24/1991

Effective Date

11/04/2021

Expiration Date

09/30/2023

City

JACKSON

State

Zip

63755

Ever Disciplined

LastModifiedDate

02/02/2024