LORI SOLBERG POTHAST Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004480

License Status

NOT RENEWED

Business

First Name

LORI SOLBERG

Last Name

POTHAST

Business Name

LORI SOLBERG POTHAST

Original Issue Date

04/12/1985

Effective Date

08/27/2018

Expiration Date

09/30/2020

City

EPHRAIM

State

Zip

54211

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021