KATRINA S BELLEM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004873

License Status

NOT RENEWED

Business

First Name

KATRINA S

Last Name

BELLEM

Business Name

KATRINA S BELLEM

Original Issue Date

12/22/1986

Effective Date

12/22/1986

Expiration Date

09/30/1990

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2005