KRISTA LEE KELLY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007471

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

LEE

Last Name

KELLY

Business Name

KRISTA LEE KELLY

Original Issue Date

05/02/2016

Effective Date

05/02/2016

Expiration Date

09/30/2017

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017