KATHLEEN J HENDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000943

License Status

NOT RENEWED

Business

First Name

KATHLEEN J

Last Name

HENDERSON

Business Name

KATHLEEN J HENDERSON

Original Issue Date

11/08/1991

Effective Date

08/19/2013

Expiration Date

09/30/2015

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/03/2015