PENNY PROKSCH GRIFFITH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009411

License Status

INACTIVE

Business

First Name

PENNY PROKSCH

Last Name

GRIFFITH

Business Name

PENNY PROKSCH GRIFFITH

Original Issue Date

03/25/1996

Effective Date

09/06/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2020