KRISTI LYNN WALLACE - Physical Therapist License in Illinois | # 160000274

KRISTI LYNN WALLACE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000274

License Status

NOT RENEWED

Business

N

First Name

KRISTI LYNN

Last Name

WALLACE

Business Name

KRISTI LYNN WALLACE

Original Issue Date

07/22/1991

Effective Date

09/30/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/19/2022