KELLEEN A DAVIS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003407

License Status

ACTIVE

Business

First Name

KELLEEN

Middle

Last Name

DAVIS

Business Name

KELLEEN A DAVIS

Original Issue Date

09/28/1999

Effective Date

09/03/2025

Expiration Date

09/30/2027

City

MURRAYVILLE

State

Zip

62668

County

MORGAN

Ever Disciplined

LastModifiedDate

09/03/2025