LAUREN M FACKLER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016935

License Status

ACTIVE

Business

First Name

LAUREN

Middle

Last Name

FACKLER

Business Name

LAUREN M FACKLER

Original Issue Date

02/25/2009

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

EAST GRAND RAPIDS

State

Zip

49506

Ever Disciplined

LastModifiedDate

09/27/2024