JOSEPH PATRICK KELLY IV Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014855

License Status

ACTIVE

Business

First Name

JOSEPH

Middle

PATRICK

Last Name

KELLY

Suffix

Business Name

JOSEPH PATRICK KELLY IV

Original Issue Date

02/15/2006

Effective Date

08/26/2024

Expiration Date

09/30/2026

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

08/26/2024