KELLY R SIEVERS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003044

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

SIEVERS

Business Name

KELLY R SIEVERS

Original Issue Date

08/14/1998

Effective Date

09/04/2019

Expiration Date

01/31/2022

City

HARDIN

State

Zip

62047

County

CALHOUN

Ever Disciplined

LastModifiedDate

05/19/2022