HEATHER L CONKLE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000672

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

CONKLE

Business Name

HEATHER L CONKLE

Original Issue Date

10/03/1991

Effective Date

08/08/2019

Expiration Date

01/31/2022

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022