KELLY E DONNELLY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024738

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

DONNELLY

Business Name

KELLY E DONNELLY

Original Issue Date

09/03/2019

Effective Date

07/08/2024

Expiration Date

09/30/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/08/2024