KRISTIN R LONGENECKER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003907

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

Last Name

LONGENECKER

Business Name

KRISTIN R LONGENECKER

Original Issue Date

09/26/2001

Effective Date

09/07/2025

Expiration Date

09/30/2027

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

09/07/2025