JAMES GRANT HAASE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003763

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

GRANT

Last Name

HAASE

Business Name

JAMES GRANT HAASE

Original Issue Date

12/06/2000

Effective Date

12/06/2000

Expiration Date

09/30/2005

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005