KELLEY L SMITH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017447

License Status

ACTIVE

Business

First Name

KELLEY

Middle

Last Name

SMITH

Business Name

KELLEY L SMITH

Original Issue Date

09/25/2009

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2024