WIM DEN HAESE - Physical Therapist License in Illinois | # 070008531

WIM DEN HAESE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008531

License Status

NOT RENEWED

Business

N

First Name

WIM

Last Name

DEN HAESE

Business Name

WIM DEN HAESE

Original Issue Date

01/17/1995

Effective Date

01/17/1995

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005