KELLEY L HALLIBURTON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000871

License Status

ACTIVE

Business

First Name

KELLEY L

Last Name

HALLIBURTON

Business Name

KELLEY L HALLIBURTON

Original Issue Date

11/02/1991

Effective Date

07/03/2025

Expiration Date

09/30/2027

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/03/2025