PHYLLIS D MCLOUTH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005697

License Status

ACTIVE

Business

First Name

PHYLLIS D

Last Name

MCLOUTH

Business Name

PHYLLIS D MCLOUTH

Original Issue Date

03/14/1989

Effective Date

09/04/2024

Expiration Date

09/30/2026

City

BUSHNELL

State

Zip

61422

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/04/2024