DOUGLAS A HENNESS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023698

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

HENNESS

Business Name

DOUGLAS A HENNESS

Original Issue Date

07/13/2018

Effective Date

09/22/2024

Expiration Date

09/30/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/22/2024