LESLIE A ODOM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005376

License Status

ACTIVE

Business

First Name

LESLIE

Middle

Last Name

ODOM

Business Name

LESLIE A ODOM

Original Issue Date

12/16/2009

Effective Date

10/03/2025

Expiration Date

09/30/2027

City

EWING

State

Zip

62836

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/03/2025

Case Number

2024011320

Action

Suspension

Discipline Start Date

02/17/2025

Discipline End Date

09/13/2025

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/15/2025.