KELLY J GRONEWOLD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021319

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

GRONEWOLD

Business Name

KELLY J GRONEWOLD

Original Issue Date

03/06/2015

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

09/24/2024