JONATHAN W HAKE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005096

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

HAKE

Business Name

JONATHAN W HAKE

Original Issue Date

10/30/2008

Effective Date

07/15/2009

Expiration Date

09/30/2011

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

11/04/2011