SALLY J LUCKETT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000720

License Status

ACTIVE

Business

First Name

SALLY J

Last Name

LUCKETT

Business Name

SALLY J LUCKETT

Original Issue Date

10/12/1991

Effective Date

08/28/2025

Expiration Date

09/30/2027

City

WITT

State

Zip

62094

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

08/28/2025