DEBRA D LACASSE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004303

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

Last Name

LACASSE

Business Name

DEBRA D LACASSE

Original Issue Date

06/25/2004

Effective Date

03/02/2016

Expiration Date

09/30/2017

City

SNEADS FERRY

State

Zip

28460

Ever Disciplined

LastModifiedDate

11/01/2017