ANDREW S LANGE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017898

License Status

ACTIVE

Business

First Name

ANDREW

Middle

Last Name

LANGE

Business Name

ANDREW S LANGE

Original Issue Date

07/20/2010

Effective Date

09/28/2024

Expiration Date

09/30/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/28/2024