VICKI R FUNCANNON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006269

License Status

NOT RENEWED

Business

First Name

VICKI R

Last Name

FUNCANNON

Business Name

VICKI R FUNCANNON

Original Issue Date

01/04/1991

Effective Date

08/16/2022

Expiration Date

09/30/2024

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/27/2025