HEIDI R ROTH - Physical Therapist License in Illinois | # 070012967

HEIDI R ROTH

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012967

License Status

ACTIVE

Business

N

First Name

HEIDI

Middle

R

Last Name

ROTH

Business Name

HEIDI R ROTH

Original Issue Date

03/29/2002

Effective Date

08/22/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/22/2024