LAKEN MAKENNA WEST Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023175

License Status

ACTIVE

Business

First Name

LAKEN

Middle

MAKENNA

Last Name

WEST

Business Name

LAKEN MAKENNA WEST

Original Issue Date

08/17/2017

Effective Date

09/11/2024

Expiration Date

09/30/2026

City

WASHINGTON

State

Zip

61571

Ever Disciplined

LastModifiedDate

09/11/2024