CORISSA GRACE GLENN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008829

License Status

ACTIVE

Business

First Name

CORISSA

Middle

GRACE

Last Name

GLENN

Business Name

CORISSA GRACE GLENN

Original Issue Date

11/05/2019

Effective Date

09/03/2025

Expiration Date

09/30/2027

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

09/03/2025