CONNIE J WHITE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007056

License Status

ACTIVE

Business

First Name

CONNIE J

Last Name

WHITE

Business Name

CONNIE J WHITE

Original Issue Date

07/22/1992

Effective Date

09/26/2024

Expiration Date

09/30/2026

City

NEW HOLLAND

State

Zip

62671

County

LOGAN

Ever Disciplined

LastModifiedDate

09/26/2024