KASSIE D HALL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006176

License Status

NOT RENEWED

Business

First Name

KASSIE

Middle

Last Name

HALL

Business Name

KASSIE D HALL

Original Issue Date

08/30/2012

Effective Date

05/11/2022

Expiration Date

09/30/2023

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

02/02/2024