KELLY J KLUSSMANN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003872

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

KLUSSMANN

Business Name

KELLY J KLUSSMANN

Original Issue Date

08/23/2001

Effective Date

08/23/2001

Expiration Date

09/30/2003

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005