KRYSTAL H KOFOED Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026956

License Status

ACTIVE

Business

First Name

KRYSTAL

Middle

Last Name

KOFOED

Business Name

KRYSTAL H KOFOED

Original Issue Date

09/27/2022

Effective Date

08/06/2024

Expiration Date

09/30/2026

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

08/06/2024