KATHLEEN LYNELLE CROCKETT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005545

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

LYNELLE

Last Name

CROCKETT

Business Name

KATHLEEN LYNELLE CROCKETT

Original Issue Date

12/31/1988

Effective Date

07/13/2024

Expiration Date

09/30/2026

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/13/2024