HAYLEY ELIZABETH ETHERIDGE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025909

License Status

ACTIVE

Business

First Name

HAYLEY

Middle

ELIZABETH

Last Name

ETHERIDGE

Business Name

HAYLEY ELIZABETH ETHERIDGE

Original Issue Date

05/28/2021

Effective Date

07/08/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/08/2024