H RUFFIN WALDEN III Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001474

License Status

ACTIVE

Business

First Name

H RUFFIN

Last Name

WALDEN III

Business Name

H RUFFIN WALDEN III

Original Issue Date

10/04/1971

Effective Date

09/04/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/04/2024