RANDALL S HAWKER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005872

License Status

INACTIVE

Business

First Name

RANDALL S

Last Name

HAWKER

Business Name

RANDALL S HAWKER

Original Issue Date

01/12/1990

Effective Date

09/10/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2020