SCOTT D HEIDEMANN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014412

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

HEIDEMANN

Business Name

SCOTT D HEIDEMANN

Original Issue Date

04/29/2005

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/05/2024