KAREN D STREET Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001486

License Status

NOT RENEWED

Business

First Name

KAREN D

Last Name

STREET

Business Name

KAREN D STREET

Original Issue Date

07/20/1992

Effective Date

08/20/2019

Expiration Date

01/31/2022

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/19/2022