KELSEY ANN MIX Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025867

License Status

ACTIVE

Business

First Name

KELSEY

Middle

ANN

Last Name

MIX

Business Name

KELSEY ANN MIX

Original Issue Date

05/19/2021

Effective Date

07/09/2024

Expiration Date

09/30/2026

City

CRYSTAL LAKE

State

Zip

60012

Ever Disciplined

LastModifiedDate

07/09/2024