KELLY S MCCORMICK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016904

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

MCCORMICK

Business Name

KELLY S MCCORMICK

Original Issue Date

02/10/2009

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2024