CALISTA R KELLY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012663

License Status

ACTIVE

Business

First Name

CALISTA

Middle

Last Name

KELLY

Business Name

CALISTA R KELLY

Original Issue Date

09/26/2001

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

EAST PEORIA

State

Zip

61611

County

WOODFORD

Ever Disciplined

LastModifiedDate

09/03/2024