RANDY G AHTEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002522

License Status

NOT RENEWED

Business

First Name

RANDY G

Last Name

AHTEN

Business Name

RANDY G AHTEN

Original Issue Date

10/24/1996

Effective Date

08/31/2015

Expiration Date

09/30/2017

City

ALTAMONT

State

Zip

62411

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

11/01/2017