LISA A FORD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007621

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

FORD

Business Name

LISA A FORD

Original Issue Date

05/24/1993

Effective Date

09/27/2016

Expiration Date

09/30/2018

City

AUSTIN

State

Zip

78723

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/05/2018