ANDREA M BAHAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012532

License Status

ACTIVE

Business

First Name

ANDREA

Middle

Last Name

BAHAN

Business Name

ANDREA M BAHAN

Original Issue Date

07/18/2001

Effective Date

09/14/2024

Expiration Date

09/30/2026

City

FREEBURG

State

Zip

62243

Ever Disciplined

LastModifiedDate

09/14/2024