KRISTEN L LOGUE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007166

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

LOGUE

Business Name

KRISTEN L LOGUE

Original Issue Date

07/28/2015

Effective Date

10/01/2023

Expiration Date

09/30/2025

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

12/30/2025