PENNY RENE SPRADLIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002115

License Status

NOT RENEWED

Business

First Name

PENNY RENE

Last Name

SPRADLIN

Business Name

PENNY RENE SPRADLIN

Original Issue Date

01/31/1995

Effective Date

09/16/2011

Expiration Date

09/30/2013

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/15/2020