ANDREW T HAVERSTOCK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012822

License Status

ACTIVE

Business

First Name

ANDREW

Middle

Last Name

HAVERSTOCK

Business Name

ANDREW T HAVERSTOCK

Original Issue Date

01/22/2002

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

FRANKFORT

State

Zip

60423

Ever Disciplined

LastModifiedDate

07/03/2024