HEATHER L LAIRD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005403

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

LAIRD

Business Name

HEATHER L LAIRD

Original Issue Date

02/10/2010

Effective Date

09/25/2019

Expiration Date

01/31/2022

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

05/19/2022