DREW M HENNEBERG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020031

License Status

ACTIVE

Business

First Name

DREW

Middle

Last Name

HENNEBERG

Business Name

DREW M HENNEBERG

Original Issue Date

08/15/2013

Effective Date

09/26/2024

Expiration Date

09/30/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/26/2024