KELLY L WELLS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014124

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

WELLS

Business Name

KELLY L WELLS

Original Issue Date

09/07/2004

Effective Date

07/21/2014

Expiration Date

09/30/2016

City

INDIANAPOLIS

State

Zip

46203

County

INDIANA

Ever Disciplined

LastModifiedDate

11/26/2016