JASON C KOOYENGA - Physical Therapist License in Indiana | # 160009210

JASON C KOOYENGA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009210

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

C

Last Name

KOOYENGA

Business Name

JASON C KOOYENGA

Original Issue Date

02/08/2021

Effective Date

02/08/2021

Expiration Date

01/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

05/19/2022