KRISTIN NICOLE KELLIM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017045

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

NICOLE

Last Name

KELLIM

Business Name

KRISTIN NICOLE KELLIM

Original Issue Date

04/14/2009

Effective Date

09/25/2012

Expiration Date

09/30/2014

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

11/17/2014