REBECCA S THIEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001101

License Status

INACTIVE

Business

First Name

REBECCA S

Last Name

THIEN

Business Name

REBECCA S THIEN

Original Issue Date

12/05/1991

Effective Date

08/21/2017

Expiration Date

09/30/2019

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

07/04/2019