KELLY M RODRIGUEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007658

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

RODRIGUEZ

Business Name

KELLY M RODRIGUEZ

Original Issue Date

08/24/2016

Effective Date

09/24/2019

Expiration Date

01/31/2022

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022