KEVIN BLAKE BEADLE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027038

License Status

ACTIVE

Business

First Name

KEVIN

Middle

BLAKE

Last Name

BEADLE

Business Name

KEVIN BLAKE BEADLE

Original Issue Date

10/01/2022

Effective Date

09/11/2024

Expiration Date

09/30/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/17/2024