LESLIE R STROUD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003894

License Status

ACTIVE

Business

First Name

LESLIE

Middle

Last Name

STROUD

Business Name

LESLIE R STROUD

Original Issue Date

09/19/2001

Effective Date

09/23/2025

Expiration Date

09/30/2027

City

CARBONDALE

State

Zip

62901

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/23/2025