CHASTITY L GALLENTINE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008457

License Status

ACTIVE

Business

First Name

CHASTITY

Middle

Last Name

GALLENTINE

Business Name

CHASTITY L GALLENTINE

Original Issue Date

10/30/2018

Effective Date

09/07/2025

Expiration Date

09/30/2027

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

09/07/2025