DOUGLAS WILLIAM SIEMEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006556

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

WILLIAM

Last Name

SIEMEN

Business Name

DOUGLAS WILLIAM SIEMEN

Original Issue Date

09/06/2013

Effective Date

09/04/2019

Expiration Date

01/31/2022

City

WEST LIBERTY

State

Zip

52776

County

IOWA

Ever Disciplined

LastModifiedDate

05/19/2022