DANA M KERNS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014270

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

KERNS

Business Name

DANA M KERNS

Original Issue Date

12/28/2004

Effective Date

07/11/2016

Expiration Date

09/30/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

12/05/2018