LISA A FAIR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008353

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

FAIR

Business Name

LISA A FAIR

Original Issue Date

09/15/1994

Effective Date

09/15/1994

Expiration Date

09/30/1996

City

GODFREY

State

Zip

62035

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/14/2005