HALEY A SIUTS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008366

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

Last Name

SIUTS

Business Name

HALEY A SIUTS

Original Issue Date

09/10/2018

Effective Date

09/10/2018

Expiration Date

09/30/2019

City

TOLONO

State

Zip

61880

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/13/2020