LISA THERESE PETERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007445

License Status

NOT RENEWED

Business

First Name

LISA

Middle

THERESE

Last Name

PETERSON

Business Name

LISA THERESE PETERSON

Original Issue Date

04/08/2016

Effective Date

12/30/2021

Expiration Date

09/30/2023

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/02/2024