BRENDA S KAVANAGH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000874

License Status

NOT RENEWED

Business

First Name

BRENDA S

Last Name

KAVANAGH

Business Name

BRENDA S KAVANAGH

Original Issue Date

11/02/1991

Effective Date

07/20/2017

Expiration Date

09/30/2019

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/13/2020