KIMBERLY ANN INNISS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004015

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

INNISS

Business Name

KIMBERLY ANN INNISS

Original Issue Date

02/14/2002

Effective Date

09/19/2023

Expiration Date

09/30/2025

City

KNOXVILLE

State

Zip

61448

County

KNOX

Ever Disciplined

LastModifiedDate

12/30/2025