KYLE A BOUDREAU Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020042

License Status

ACTIVE

Business

First Name

KYLE

Middle

Last Name

BOUDREAU

Business Name

KYLE A BOUDREAU

Original Issue Date

08/15/2013

Effective Date

09/19/2024

Expiration Date

09/30/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/19/2024