KATHLEEN A GREENWALT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000873

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

GREENWALT

Business Name

KATHLEEN A GREENWALT

Original Issue Date

11/02/1991

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/13/2020