SUSAN E VANDENBERGH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006159

License Status

ACTIVE

Business

First Name

SUSAN E

Last Name

VANDENBERGH

Business Name

SUSAN E VANDENBERGH

Original Issue Date

08/22/1990

Effective Date

09/06/2024

Expiration Date

09/30/2026

City

WITT

State

Zip

62094

Ever Disciplined

LastModifiedDate

09/06/2024