KELLY L GRANDE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006003

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

GRANDE

Business Name

KELLY L GRANDE

Original Issue Date

05/23/2012

Effective Date

09/23/2025

Expiration Date

09/30/2027

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2025