KELLEY B LEACH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008766

License Status

ACTIVE

Business

First Name

KELLEY B

Last Name

LEACH

Business Name

KELLEY B LEACH

Original Issue Date

05/04/1995

Effective Date

08/13/2024

Expiration Date

09/30/2026

City

JANESVILLE

State

Zip

53548

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/13/2024