KELLY VILLASANO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009283

License Status

ACTIVE

Business

First Name

KELLY

Last Name

VILLASANO

Business Name

KELLY VILLASANO

Original Issue Date

06/08/2021

Effective Date

07/02/2025

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

Ever Disciplined

LastModifiedDate

09/03/2025