KELLY M CROSS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022672

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

CROSS

Business Name

KELLY M CROSS

Original Issue Date

09/29/2016

Effective Date

07/17/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2020