CAROLYN G ENBODEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000722

License Status

ACTIVE

Business

First Name

CAROLYN G

Last Name

ENBODEN

Business Name

CAROLYN G ENBODEN

Original Issue Date

10/12/1991

Effective Date

08/27/2025

Expiration Date

09/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

08/27/2025