KATHERINE LAURA LONG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023584

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

LAURA

Last Name

LONG

Business Name

KATHERINE LAURA LONG

Original Issue Date

04/10/2018

Effective Date

04/10/2018

Expiration Date

09/30/2018

City

UNIVERSITY HTS

State

Zip

44118

Ever Disciplined

LastModifiedDate

12/05/2018