GABRIEL E MCKIBBEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009243

License Status

NOT RENEWED

Business

First Name

GABRIEL

Middle

Last Name

MCKIBBEN

Business Name

GABRIEL E MCKIBBEN

Original Issue Date

05/05/2021

Effective Date

09/15/2023

Expiration Date

09/30/2025

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

12/30/2025