CHAD M HATAYAMA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011630

License Status

ACTIVE

Business

First Name

CHAD

Middle

Last Name

HATAYAMA

Business Name

CHAD M HATAYAMA

Original Issue Date

12/03/1999

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/24/2024