BEVERLY K WEERDA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000480

License Status

NOT RENEWED

Business

First Name

BEVERLY K

Last Name

WEERDA

Business Name

BEVERLY K WEERDA

Original Issue Date

08/30/1991

Effective Date

11/14/2021

Expiration Date

09/30/2023

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/02/2024