KELSEY R BAIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007470

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

Last Name

BAIN

Business Name

KELSEY R BAIN

Original Issue Date

04/28/2016

Effective Date

08/11/2017

Expiration Date

09/30/2019

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

01/13/2020