LORI A KISTING Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001829

License Status

NOT RENEWED

Business

First Name

LORI A

Last Name

KISTING

Business Name

LORI A KISTING

Original Issue Date

11/05/1993

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

JANESVILLE

State

Zip

53548

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/04/2009