LUKE T PENNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008671

License Status

ACTIVE

Business

First Name

LUKE

Middle

Last Name

PENNER

Business Name

LUKE T PENNER

Original Issue Date

08/05/2019

Effective Date

08/09/2025

Expiration Date

09/30/2027

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/09/2025