KENT J KJELLSTROM - Physical Therapist License in Illinois | # 070017887

KENT J KJELLSTROM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017887

License Status

NOT RENEWED

Business

N

First Name

KENT

Middle

J

Last Name

KJELLSTROM

Business Name

KENT J KJELLSTROM

Original Issue Date

07/19/2010

Effective Date

09/01/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022