BECKY L HENNING Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002572

License Status

NOT RENEWED

Business

First Name

BECKY

Middle

Last Name

HENNING

Business Name

BECKY L HENNING

Original Issue Date

11/13/1996

Effective Date

09/12/2019

Expiration Date

01/31/2022

City

LOVES PARK

State

Zip

61111

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/19/2022