ROGER D HOMANN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006503

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

HOMANN

Business Name

ROGER D HOMANN

Original Issue Date

08/06/2013

Effective Date

09/28/2015

Expiration Date

09/30/2017

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

11/01/2017