HEIDI R ROTH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012967

License Status

ACTIVE

Business

First Name

HEIDI

Middle

Last Name

ROTH

Business Name

HEIDI R ROTH

Original Issue Date

03/29/2002

Effective Date

08/22/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

08/22/2024