KIM ELLEN KLINE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006559

License Status

NOT RENEWED

Business

First Name

KIM

Middle

ELLEN

Last Name

KLINE

Business Name

KIM ELLEN KLINE

Original Issue Date

09/13/2013

Effective Date

09/23/2021

Expiration Date

09/30/2023

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/02/2024