PATRICK WILLIAM HENNESSY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019091

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

WILLIAM

Last Name

HENNESSY

Business Name

PATRICK WILLIAM HENNESSY

Original Issue Date

05/18/2012

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

PORTLAND

State

Zip

97202

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021