KELSEY D RUSSELL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005193

License Status

ACTIVE

Business

First Name

KELSEY

Middle

Last Name

RUSSELL

Business Name

KELSEY D RUSSELL

Original Issue Date

06/30/2009

Effective Date

09/24/2025

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/24/2025