KURT RICHARD NEELLY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011538

License Status

INACTIVE

Business

First Name

KURT

Middle

RICHARD

Last Name

NEELLY

Business Name

KURT RICHARD NEELLY

Original Issue Date

10/12/1999

Effective Date

08/25/2010

Expiration Date

09/30/2012

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/05/2012