MALLY A HAAK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007779

License Status

ACTIVE

Business

First Name

MALLY

Middle

Last Name

HAAK

Business Name

MALLY A HAAK

Original Issue Date

12/15/2016

Effective Date

08/29/2025

Expiration Date

09/30/2027

City

POLO

State

Zip

61064

Ever Disciplined

LastModifiedDate

08/29/2025