CAROLYN S BESALKE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000766

License Status

NOT RENEWED

Business

First Name

CAROLYN S

Last Name

BESALKE

Business Name

CAROLYN S BESALKE

Original Issue Date

10/16/1991

Effective Date

08/19/2019

Expiration Date

01/31/2022

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/19/2022