CONNIE F KELLOGG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000440

License Status

NOT RENEWED

Business

First Name

CONNIE F

Last Name

KELLOGG

Business Name

CONNIE F KELLOGG

Original Issue Date

08/21/1991

Effective Date

08/23/2023

Expiration Date

09/30/2025

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/30/2025