KALAN NOELLE WYATT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025411

License Status

NOT RENEWED

Business

First Name

KALAN

Middle

NOELLE

Last Name

WYATT

Business Name

KALAN NOELLE WYATT

Original Issue Date

08/21/2020

Effective Date

08/21/2020

Expiration Date

09/30/2022

City

CHRISMAN

State

Zip

61924

County

EDGAR

Ever Disciplined

LastModifiedDate

11/28/2022