KAELIE N VENVERTLOH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026483

License Status

ACTIVE

Business

First Name

KAELIE

Middle

Last Name

VENVERTLOH

Business Name

KAELIE N VENVERTLOH

Original Issue Date

03/07/2022

Effective Date

08/01/2024

Expiration Date

09/30/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/01/2024