KELLY LEANN BRENNAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006678

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LEANN

Last Name

BRENNAN

Business Name

KELLY LEANN BRENNAN

Original Issue Date

12/18/2013

Effective Date

12/18/2013

Expiration Date

09/30/2015

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/03/2015