THEODORE W HEATER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007963

License Status

INACTIVE

Business

First Name

THEODORE

Middle

Last Name

HEATER

Business Name

THEODORE W HEATER

Original Issue Date

08/09/2017

Effective Date

08/09/2017

Expiration Date

09/30/2019

City

EWING

State

Zip

62836

Ever Disciplined

LastModifiedDate

07/04/2019