KELLIE M TAYLOR Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003696

License Status

ACTIVE

Business

First Name

KELLIE

Middle

Last Name

TAYLOR

Business Name

KELLIE M TAYLOR

Original Issue Date

10/10/2000

Effective Date

09/18/2025

Expiration Date

09/30/2027

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/18/2025