KELLY FORST Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009169

License Status

ACTIVE

Business

First Name

KELLY

Last Name

FORST

Business Name

KELLY FORST

Original Issue Date

12/29/2020

Effective Date

09/12/2025

Expiration Date

09/30/2027

City

BERWYN

State

Zip

60402

Ever Disciplined

LastModifiedDate

09/12/2025