KENT A RICHMOND Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003703

License Status

INACTIVE

Business

First Name

KENT A

Last Name

RICHMOND

Business Name

KENT A RICHMOND

Original Issue Date

05/26/1982

Effective Date

08/04/2014

Expiration Date

09/30/2016

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/06/2016