KELLI RENAE PETTIJOHN - Physical Therapist License in Illinois | # 160007091

KELLI RENAE PETTIJOHN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007091

License Status

NOT RENEWED

Business

N

First Name

KELLI

Middle

RENAE

Last Name

PETTIJOHN

Business Name

KELLI RENAE PETTIJOHN

Original Issue Date

05/05/2015

Effective Date

08/03/2015

Expiration Date

09/30/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017