MICHAEL ANTHONY HEADTKE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004997

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

ANTHONY

Last Name

HEADTKE

Business Name

MICHAEL ANTHONY HEADTKE

Original Issue Date

07/30/2008

Effective Date

08/25/2025

Expiration Date

09/30/2027

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

08/25/2025