LISA MARIE WILDS
Direct Access Authorization - Physical Therapy
Pennsylvania DAPT000764 Expired
This Pennsylvania license was held by LISA MARIE WILDS. The license is no longer active. It was granted on 12/27/2005 and expired on 12/31/2008
LICENSE DETAILS
- License Number: DAPT000764
- Category: Direct Access Authorization - PT
- Status: Expired
- Date Granted: 12/27/2005 (over 19 years ago)
- Expiry Date: 12/31/2008 (over 16 years ago)
LOCATIONS
A Address
Springfield PA 19064