CAROLYN MUSHOLT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005018

License Status

ACTIVE

Business

First Name

CAROLYN

Last Name

MUSHOLT

Business Name

CAROLYN MUSHOLT

Original Issue Date

01/27/1987

Effective Date

07/08/2024

Expiration Date

09/30/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

07/08/2024