JOSEPH LIDESTER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007573

License Status

NOT RENEWED

Business

First Name

JOSEPH

Last Name

LIDESTER

Business Name

JOSEPH LIDESTER

Original Issue Date

07/28/2016

Effective Date

09/07/2017

Expiration Date

09/30/2019

City

MILWAUKEE

State

Zip

53227

County

LAKE

Ever Disciplined

LastModifiedDate

01/13/2020