LORI PETTIT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008860

License Status

NOT RENEWED

Business

First Name

LORI

Last Name

PETTIT

Business Name

LORI PETTIT

Original Issue Date

12/20/2019

Effective Date

12/20/2019

Expiration Date

01/31/2022

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

05/19/2022