ADDISON A COULTER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007610

License Status

NOT RENEWED

Business

First Name

ADDISON

Middle

Last Name

COULTER

Business Name

ADDISON A COULTER

Original Issue Date

08/02/2016

Effective Date

10/01/2019

Expiration Date

01/31/2022

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/19/2022