KENNETH J WHITTAKER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009800

License Status

ACTIVE

Business

First Name

KENNETH J

Last Name

WHITTAKER

Business Name

KENNETH J WHITTAKER

Original Issue Date

11/19/1996

Effective Date

09/13/2024

Expiration Date

09/30/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/13/2024