BETTYE C SHORT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000265

License Status

NOT RENEWED

Business

First Name

BETTYE C

Last Name

SHORT

Business Name

BETTYE C SHORT

Original Issue Date

07/22/1991

Effective Date

08/14/2019

Expiration Date

01/31/2022

City

BELLEVUE

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/19/2022