SHANNON K HIETSCHOLD - Physical Therapist License in Illinois | # 070017202

SHANNON K HIETSCHOLD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017202

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

K

Last Name

HIETSCHOLD

Business Name

SHANNON K HIETSCHOLD

Original Issue Date

07/13/2009

Effective Date

08/28/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014