License holder summary

LISA MARIE VIDAKOVIC is a Temporary Physical Therapist licensed to practice in Pennsylvania. The address on file for LISA MARIE VIDAKOVIC is Erie PA 16506. This licensed professional license is not current. The license was granted 01/10/2005 and expired on 07/10/2005.

Pennsylvania

Department of State

LISA MARIE VIDAKOVIC
Temporary Physical Therapist
License number
TPT019972
Date granted
01/10/2005
Date expires
07/10/2005
Class
Temporary Physical Therapist
Status
Voided
Address
Erie PA 16506
palicensing.org
ID 17331887
LAST UPDATED 2024-02-24 18:34:56 UTC

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