KELLY FERGUSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008770

License Status

ACTIVE

Business

First Name

KELLY

Last Name

FERGUSON

Business Name

KELLY FERGUSON

Original Issue Date

10/25/2019

Effective Date

07/02/2025

Expiration Date

09/30/2027

City

WILMINGTON

State

Zip

60481

County

WILL

Ever Disciplined

LastModifiedDate

08/17/2025