CARRIE A HAVARD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003694

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

Last Name

HAVARD

Business Name

CARRIE A HAVARD

Original Issue Date

10/10/2000

Effective Date

10/10/2000

Expiration Date

09/30/2005

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005