ANDREA R GRAHAM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009263

License Status

ACTIVE

Business

First Name

ANDREA R

Last Name

GRAHAM

Business Name

ANDREA R GRAHAM

Original Issue Date

01/10/1996

Effective Date

08/04/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/04/2024