KATHLEEN F THORNBURG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000902

License Status

NOT RENEWED

Business

First Name

KATHLEEN F

Last Name

THORNBURG

Business Name

KATHLEEN F THORNBURG

Original Issue Date

11/05/1991

Effective Date

09/05/2019

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/19/2022