KELLY RENE BEAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003807

License Status

INACTIVE

Business

First Name

KELLY RENE

Last Name

BEAN

Business Name

KELLY RENE BEAN

Original Issue Date

11/08/1982

Effective Date

08/27/2020

Expiration Date

09/30/2022

City

VIENNA

State

Zip

62995

County

JOHNSON

Ever Disciplined

LastModifiedDate

06/30/2022