REBECCA E DYKSTRA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007453

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

DYKSTRA

Business Name

REBECCA E DYKSTRA

Original Issue Date

04/21/2016

Effective Date

12/29/2021

Expiration Date

09/30/2023

City

SAINT JOHN

State

Zip

46373

County

LAKE

Ever Disciplined

LastModifiedDate

02/02/2024