KAREN M RAPHAEL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001150

License Status

INACTIVE

Business

First Name

KAREN M

Last Name

RAPHAEL

Business Name

KAREN M RAPHAEL

Original Issue Date

12/17/1991

Effective Date

09/17/2015

Expiration Date

09/30/2017

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

07/07/2017