BRENDA JO HENDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005461

License Status

NOT RENEWED

Business

First Name

BRENDA JO

Last Name

HENDERSON

Business Name

BRENDA JO HENDERSON

Original Issue Date

07/09/1988

Effective Date

07/09/1988

Expiration Date

09/30/1994

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2005