KENNETH E BARHAM JR Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002348

License Status

ACTIVE

Business

First Name

KENNETH

Middle

Last Name

BARHAM

Suffix

Business Name

KENNETH E BARHAM JR

Original Issue Date

01/02/1996

Effective Date

09/02/2025

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/02/2025