KEVIN ALAN LEISEBERG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011208

License Status

ACTIVE

Business

First Name

KEVIN

Middle

ALAN

Last Name

LEISEBERG

Business Name

KEVIN ALAN LEISEBERG

Original Issue Date

03/15/1999

Effective Date

08/03/2024

Expiration Date

09/30/2026

City

WALWORTH

State

Zip

53184

Ever Disciplined

LastModifiedDate

08/03/2024