JASON C KOOYENGA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009210

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

KOOYENGA

Business Name

JASON C KOOYENGA

Original Issue Date

02/08/2021

Effective Date

02/08/2021

Expiration Date

01/31/2022

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

05/19/2022