LORENA M BAILEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001815

License Status

NOT RENEWED

Business

First Name

LORENA M

Last Name

BAILEY

Business Name

LORENA M BAILEY

Original Issue Date

05/06/1974

Effective Date

08/01/2022

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62791

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/27/2025