MADISON L SERFONTEIN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010483

License Status

ACTIVE

Business

First Name

MADISON

Middle

Last Name

SERFONTEIN

Business Name

MADISON L SERFONTEIN

Original Issue Date

08/06/2025

Effective Date

08/06/2025

Expiration Date

09/30/2027

City

DIETERICH

State

Zip

62424

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

08/06/2025