MARY HEIDI CLEMENS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005006

License Status

INACTIVE

Business

First Name

MARY HEIDI

Last Name

CLEMENS

Business Name

MARY HEIDI CLEMENS

Original Issue Date

01/17/1987

Effective Date

01/17/1987

Expiration Date

09/30/2002

City

TILLAMOOK

State

Zip

97141

County

OREGON

Ever Disciplined

LastModifiedDate

10/17/2005