CARRIE ANNE RANDELL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008500

License Status

ACTIVE

Business

First Name

CARRIE

Middle

ANNE

Last Name

RANDELL

Business Name

CARRIE ANNE RANDELL

Original Issue Date

12/31/1994

Effective Date

07/05/2024

Expiration Date

09/30/2026

City

MANITO

State

Zip

61546

County

PEORIA

Ever Disciplined

LastModifiedDate

07/05/2024