MARINDA M HAGA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004542

License Status

NOT RENEWED

Business

First Name

MARINDA

Middle

Last Name

HAGA

Business Name

MARINDA M HAGA

BusinessDBA

BASS

Original Issue Date

01/12/2006

Effective Date

08/28/2013

Expiration Date

09/30/2015

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/03/2015