MARK R HEDBERG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009799

License Status

NOT RENEWED

Business

First Name

MARK R

Last Name

HEDBERG

Business Name

MARK R HEDBERG

Original Issue Date

11/19/1996

Effective Date

08/01/2016

Expiration Date

09/30/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/05/2018