KELLY J MYKHAYLOV Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019324

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

MYKHAYLOV

Business Name

KELLY J MYKHAYLOV

Original Issue Date

08/08/2012

Effective Date

08/20/2022

Expiration Date

09/30/2024

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

08/20/2022