SALLY MARTHA MCKANNA - Physical Therapist License in Illinois | # 160004478

SALLY MARTHA MCKANNA

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004478

License Status

INACTIVE

Business

N

First Name

SALLY

Middle

MARTHA

Last Name

MCKANNA

Business Name

SALLY MARTHA MCKANNA

Original Issue Date

09/30/2005

Effective Date

09/23/2021

Expiration Date

09/30/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2023