KAILEY ELLEN PRUETT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024213

License Status

ACTIVE

Business

First Name

KAILEY

Middle

ELLEN

Last Name

PRUETT

Business Name

KAILEY ELLEN PRUETT

Original Issue Date

03/09/2019

Effective Date

09/11/2024

Expiration Date

09/30/2026

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2024