KATELYN M IRVIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006106

License Status

NOT RENEWED

Business

First Name

KATELYN

Middle

Last Name

IRVIN

Business Name

KATELYN M IRVIN

Original Issue Date

08/10/2012

Effective Date

09/10/2013

Expiration Date

09/30/2015

City

DONOVAN

State

Zip

60931

County

IROQUOIS

Ever Disciplined

LastModifiedDate

11/03/2015