TISH S KETTLER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010801

License Status

ACTIVE

Business

First Name

TISH

Middle

Last Name

KETTLER

Business Name

TISH S KETTLER

Original Issue Date

09/17/1998

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

COLUMBIA

State

Zip

62236

Ever Disciplined

LastModifiedDate

09/30/2024