KRISTEN E BODE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015024

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

BODE

Business Name

KRISTEN E BODE

Original Issue Date

04/19/2006

Effective Date

01/27/2021

Expiration Date

09/30/2022

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/28/2022