KELLY STEPHEN WHITE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024427

License Status

ACTIVE

Business

First Name

KELLY

Middle

STEPHEN

Last Name

WHITE

Business Name

KELLY STEPHEN WHITE

Original Issue Date

07/24/2019

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

PADUCAH

State

Zip

42003

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/23/2024