ALICIA M PANKEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003139

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

Last Name

PANKEY

Business Name

ALICIA M PANKEY

Original Issue Date

10/09/1998

Effective Date

12/29/2021

Expiration Date

09/30/2023

City

MATTOON

State

Zip

61938

Ever Disciplined

LastModifiedDate

02/02/2024