CODY COLLEEN KITE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004047

License Status

NOT RENEWED

Business

First Name

CODY

Middle

COLLEEN

Last Name

KITE

Business Name

CODY COLLEEN KITE

Original Issue Date

05/13/2002

Effective Date

05/13/2002

Expiration Date

09/30/2005

City

BLANDINSVILLE

State

Zip

61420

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/17/2005