KELLI D EVANS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011821

License Status

ACTIVE

Business

First Name

KELLI

Middle

Last Name

EVANS

Business Name

KELLI D EVANS

Original Issue Date

03/16/2000

Effective Date

09/28/2024

Expiration Date

09/30/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

09/28/2024