KARI M WALLACE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008708

License Status

NOT RENEWED

Business

First Name

KARI

Middle

Last Name

WALLACE

Business Name

KARI M WALLACE

Original Issue Date

08/09/2019

Effective Date

09/26/2023

Expiration Date

09/30/2025

City

GOODFIELD

State

Zip

61742

Ever Disciplined

LastModifiedDate

12/30/2025