KELLY T MATSUMOTO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025604

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

MATSUMOTO

Business Name

KELLY T MATSUMOTO

Original Issue Date

09/25/2020

Effective Date

08/18/2022

Expiration Date

09/30/2024

City

BUFFALO GROVE

State

Zip

60089

Ever Disciplined

LastModifiedDate

02/27/2025