HEATHER N EVANS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010253

License Status

NOT RENEWED

Business

First Name

HEATHER N

Last Name

EVANS

Business Name

HEATHER N EVANS

Original Issue Date

09/23/1997

Effective Date

09/23/1997

Expiration Date

09/30/2000

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005