LEAH L HAVERHALS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016387

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

Last Name

HAVERHALS

Business Name

LEAH L HAVERHALS

Original Issue Date

05/06/2008

Effective Date

09/30/2016

Expiration Date

09/30/2018

City

PINE CITY

State

Zip

55063

County

MINNESOTA

Ever Disciplined

LastModifiedDate

12/05/2018