HEATHER D KINNISH - Physical Therapist License in Illinois | # 160003192

HEATHER D KINNISH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003192

License Status

NOT RENEWED

Business

N

First Name

HEATHER

Middle

D

Last Name

KINNISH

Business Name

HEATHER D KINNISH

Original Issue Date

10/30/1998

Effective Date

10/30/1998

Expiration Date

09/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005