HEATHER N HUISENGA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007390

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

HUISENGA

Business Name

HEATHER N HUISENGA

Original Issue Date

11/10/2015

Effective Date

09/25/2017

Expiration Date

09/30/2019

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/13/2020