KRISTEN LYN WADE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015410

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

LYN

Last Name

WADE

Business Name

KRISTEN LYN WADE

Original Issue Date

11/13/2006

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

09/16/2024