JENNIFER L HENNEBERG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007198

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

HENNEBERG

Business Name

JENNIFER L HENNEBERG

Original Issue Date

07/29/2015

Effective Date

09/30/2025

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/30/2025