MARY F POWELL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010313

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

POWELL

Business Name

MARY F POWELL

Original Issue Date

11/07/2024

Effective Date

09/26/2025

Expiration Date

09/30/2027

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/26/2025