PATRICIA L KONGKOUSONH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002107

License Status

INACTIVE

Business

First Name

PATRICIA L

Last Name

KONGKOUSONH

Business Name

PATRICIA L KONGKOUSONH

Original Issue Date

01/21/1995

Effective Date

09/24/2023

Expiration Date

09/30/2025

City

VIOLA

State

Zip

61486

County

MERCER

Ever Disciplined

LastModifiedDate

10/08/2025