KRISTIN M WAUGHEN DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026607

License Status

ACTIVE

Business

Title

DPT

First Name

KRISTIN

Middle

Last Name

WAUGHEN

Business Name

KRISTIN M WAUGHEN DPT

Original Issue Date

06/09/2022

Effective Date

09/10/2024

Expiration Date

09/30/2026

City

LANARK

State

Zip

61046

Ever Disciplined

LastModifiedDate

09/10/2024