KELLY G HERNANDEZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028279

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

HERNANDEZ

Business Name

KELLY G HERNANDEZ

Original Issue Date

05/22/2024

Effective Date

08/13/2024

Expiration Date

09/30/2026

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

08/13/2024