SANDRA R OSTENDORF Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005349

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

OSTENDORF

Business Name

SANDRA R OSTENDORF

Original Issue Date

01/30/1988

Effective Date

09/12/2016

Expiration Date

09/30/2018

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/05/2018