SHANNON K HIETSCHOLD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017202

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

HIETSCHOLD

Business Name

SHANNON K HIETSCHOLD

Original Issue Date

07/13/2009

Effective Date

08/28/2012

Expiration Date

09/30/2014

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

11/17/2014