KIMBERLY ANN BENNETT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000370

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

BENNETT

Business Name

KIMBERLY ANN BENNETT

Original Issue Date

08/01/1991

Effective Date

09/12/2025

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/12/2025