KIRSTEN T VANDERBILT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008231

License Status

INACTIVE

Business

First Name

KIRSTEN T

Last Name

VANDERBILT

Business Name

KIRSTEN T VANDERBILT

Original Issue Date

07/14/1994

Effective Date

09/04/2020

Expiration Date

09/30/2022

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

06/30/2022