KENT J KJELLSTROM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017887

License Status

NOT RENEWED

Business

First Name

KENT

Middle

Last Name

KJELLSTROM

Business Name

KENT J KJELLSTROM

Original Issue Date

07/19/2010

Effective Date

09/01/2020

Expiration Date

09/30/2022

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/28/2022