INGRID B PEELLE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011629

License Status

NOT RENEWED

Business

First Name

INGRID

Middle

Last Name

PEELLE

Business Name

INGRID B PEELLE

Original Issue Date

12/02/1999

Effective Date

09/27/2018

Expiration Date

09/30/2020

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021