KELLY LYNN FENGYA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024686

License Status

ACTIVE

Business

First Name

KELLY

Middle

LYNN

Last Name

FENGYA

Business Name

KELLY LYNN FENGYA

Original Issue Date

08/23/2019

Effective Date

09/15/2024

Expiration Date

09/30/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

09/15/2024