HAYDEN T KLOCKENGA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024984

License Status

ACTIVE

Business

First Name

HAYDEN

Middle

Last Name

KLOCKENGA

Business Name

HAYDEN T KLOCKENGA

Original Issue Date

02/26/2020

Effective Date

07/10/2024

Expiration Date

09/30/2026

City

IRVINGTON

State

Zip

62848

County

WASHINGTON

Ever Disciplined

LastModifiedDate

07/10/2024