KIM ERIC ALEXANDER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014241

License Status

ACTIVE

Business

First Name

KIM

Middle

ERIC

Last Name

ALEXANDER

Business Name

KIM ERIC ALEXANDER

Original Issue Date

12/06/2004

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/24/2024