KEVIN M VALLERO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003661

License Status

NOT RENEWED

Business

First Name

KEVIN M

Last Name

VALLERO

Business Name

KEVIN M VALLERO

Original Issue Date

04/02/1982

Effective Date

09/23/2020

Expiration Date

09/30/2022

City

ANDALUSIA

State

Zip

61232

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/28/2022