LORETTA R KILLIAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003543

License Status

NOT RENEWED

Business

First Name

LORETTA

Middle

Last Name

KILLIAN

Business Name

LORETTA R KILLIAN

Original Issue Date

01/11/2000

Effective Date

09/17/2019

Expiration Date

01/31/2022

City

JACKSONVILLE

State

Zip

62650

County

JERSEY

Ever Disciplined

LastModifiedDate

05/19/2022