BETH KLINGBEIL BUCKER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002050

License Status

NOT RENEWED

Business

First Name

BETH KLINGBEIL

Last Name

BUCKER

Business Name

BETH KLINGBEIL BUCKER

Original Issue Date

12/22/1975

Effective Date

09/14/2016

Expiration Date

09/30/2018

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/05/2018