KIMBERLY ANN INNISS - Physical Therapist License in Illinois | # 160004015

KIMBERLY ANN INNISS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004015

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

ANN

Last Name

INNISS

Business Name

KIMBERLY ANN INNISS

Original Issue Date

02/14/2002

Effective Date

09/19/2023

Expiration Date

09/30/2025

State

IL

Ever Disciplined

N

LastModifiedDate

12/30/2025