KASEY L SUDKAMP Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014361

License Status

NOT RENEWED

Business

First Name

KASEY

Middle

Last Name

SUDKAMP

Business Name

KASEY L SUDKAMP

Original Issue Date

03/22/2005

Effective Date

07/30/2008

Expiration Date

09/30/2010

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

11/08/2010