VICKI LYNN LEE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002953

License Status

NOT RENEWED

Business

First Name

VICKI LYNN

Last Name

LEE

Business Name

VICKI LYNN LEE

Original Issue Date

06/28/1979

Effective Date

09/17/2020

Expiration Date

09/30/2022

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/28/2022