LISA MICHELLE GANTT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003949

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELLE

Last Name

GANTT

Business Name

LISA MICHELLE GANTT

Original Issue Date

11/15/2001

Effective Date

08/27/2019

Expiration Date

01/31/2022

City

LA GRANGE

State

Zip

63448

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/19/2022