License holder summary

KELLY LEE BUSHORE is a Direct Access Authorization - Physical Therapy licensed to practice in Pennsylvania. The address on file for KELLY LEE BUSHORE is Duncansville PA 16635. This licensed professional license is not current. The license was granted 10/06/2004 and expired on 12/31/2012.

Pennsylvania

Department of State

KELLY LEE BUSHORE
Direct Access Authorization - Physical Therapy
License number
DAPT000019
Date granted
10/06/2004
Date expires
12/31/2012
Class
Direct Access Authorization - Physical Therapy
Status
Inactive
Address
Duncansville PA 16635
palicensing.org
ID 17276057
LAST UPDATED 2024-04-06 18:52:43 UTC

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