EVANGELINE D MCCOY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006634

License Status

NOT RENEWED

Business

First Name

EVANGELINE

Middle

Last Name

MCCOY

Business Name

EVANGELINE D MCCOY

Original Issue Date

11/13/2013

Effective Date

12/02/2019

Expiration Date

01/31/2022

City

SAINT ANNE

State

Zip

60964

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/19/2022