KELLY COLLEEN LISTON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013044

License Status

INACTIVE

Business

First Name

KELLY

Middle

COLLEEN

Last Name

LISTON

Business Name

KELLY COLLEEN LISTON

Original Issue Date

05/08/2002

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

APO AE

State

Zip

09708

Ever Disciplined

LastModifiedDate

07/13/2006