BETHANY A BURT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014755

License Status

ACTIVE

Business

First Name

BETHANY

Middle

Last Name

BURT

Business Name

BETHANY A BURT

Original Issue Date

09/02/2005

Effective Date

08/11/2024

Expiration Date

09/30/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/11/2024