ANDREA L BAILEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003920

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

BAILEY

Business Name

ANDREA L BAILEY

Original Issue Date

10/04/2001

Effective Date

10/04/2001

Expiration Date

09/30/2003

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005