HOLLY R RUSSELL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011443

License Status

ACTIVE

Business

First Name

HOLLY

Middle

Last Name

RUSSELL

Business Name

HOLLY R RUSSELL

Original Issue Date

08/31/1999

Effective Date

07/05/2024

Expiration Date

09/30/2026

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

07/05/2024