MARK A HICHBORN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000638

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

HICHBORN

Business Name

MARK A HICHBORN

Original Issue Date

09/30/1991

Effective Date

09/30/1991

Expiration Date

09/30/2005

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

11/18/2005