KIMBERLY LAUREN RACINE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005720

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

LAUREN

Last Name

RACINE

Business Name

KIMBERLY LAUREN RACINE

Original Issue Date

08/01/2011

Effective Date

10/01/2021

Expiration Date

09/30/2023

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

02/02/2024