License holder summary

LISA LOUISE DECONINCK is a Physical Therapy - Physical Therapist licensed to practice in Michigan. The address on file for LISA LOUISE DECONINCK is Bloomfield Hills, MI 48304. This licensed professional license is current. The license was granted 08/21/1996 and expired on 07/31/2015.

Michigan

Department of Licensing and Regulation

LISA LOUISE DECONINCK
Physical Therapy - Physical Therapist
License number
5501008619
Date granted
08/21/1996
Date expires
07/31/2015
Class
Physical Therapy - Physical Therapist
Status
Active
Address
Bloomfield Hills, MI 48304
michiganlicensing.org
ID 25963841
LAST UPDATED 2024-01-25 07:10:09 UTC

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