MARK HEIDERSBACH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011582

License Status

INACTIVE

Business

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

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2006