SUSAN EICKHOFF Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000558

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

EICKHOFF

Business Name

SUSAN EICKHOFF

Original Issue Date

09/17/1991

Effective Date

11/26/2021

Expiration Date

09/30/2023

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

02/02/2024