HEIDI J HABERKAMP Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003718

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

Last Name

HABERKAMP

Business Name

HEIDI J HABERKAMP

Original Issue Date

10/24/2000

Effective Date

10/24/2021

Expiration Date

09/30/2023

City

GLANDALE

State

Zip

85301

County

ARIZONA

Ever Disciplined

LastModifiedDate

02/02/2024