ROBERTA J HENDERSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001775

License Status

INACTIVE

Business

First Name

ROBERTA J

Last Name

HENDERSON

Business Name

ROBERTA J HENDERSON

Original Issue Date

12/20/1973

Effective Date

09/27/2018

Expiration Date

09/30/2020

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2020