HENRY MATTHEW DEITERS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015620

License Status

ACTIVE

Business

First Name

HENRY

Middle

MATTHEW

Last Name

DEITERS

Business Name

HENRY MATTHEW DEITERS

Original Issue Date

03/09/2007

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/24/2024