KAITLYN E WILSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022517

License Status

NOT RENEWED

Business

First Name

KAITLYN

Middle

Last Name

WILSON

Business Name

KAITLYN E WILSON

Original Issue Date

08/18/2016

Effective Date

10/02/2018

Expiration Date

09/30/2020

City

FORT WAYNE

State

Zip

46818

Ever Disciplined

LastModifiedDate

01/14/2021