LISA LYNN WIDDER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005458

License Status

NOT RENEWED

Business

First Name

LISA

Middle

LYNN

Last Name

WIDDER

Business Name

LISA LYNN WIDDER

Original Issue Date

07/26/2010

Effective Date

12/31/2021

Expiration Date

09/30/2023

City

WAUNAKEE

State

Zip

53597

Ever Disciplined

LastModifiedDate

02/02/2024