KRISTINE L FAIRBURN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005413

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

Last Name

FAIRBURN

Business Name

KRISTINE L FAIRBURN

Original Issue Date

04/02/2010

Effective Date

09/28/2025

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

09/28/2025