MARK HEIDERSBACH - Physical Therapist License in Illinois | # 070011582

MARK HEIDERSBACH

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011582

License Status

INACTIVE

Business

N

First Name

MARK

Last Name

HEIDERSBACH

Business Name

MARK HEIDERSBACH

Original Issue Date

11/08/1999

Effective Date

11/08/1999

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2006