SALLY MARTHA MCKANNA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004478

License Status

INACTIVE

Business

First Name

SALLY

Middle

MARTHA

Last Name

MCKANNA

Business Name

SALLY MARTHA MCKANNA

Original Issue Date

09/30/2005

Effective Date

09/23/2021

Expiration Date

09/30/2023

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

09/26/2023