KATY IRENE ENLOE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013748

License Status

ACTIVE

Business

First Name

KATY

Middle

IRENE

Last Name

ENLOE

Business Name

KATY IRENE ENLOE

Original Issue Date

12/29/2003

Effective Date

07/30/2024

Expiration Date

09/30/2026

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

07/30/2024