WILLIAM RICHARD HAAKE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023976

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

RICHARD

Last Name

HAAKE

Business Name

WILLIAM RICHARD HAAKE

Original Issue Date

09/06/2018

Effective Date

08/07/2020

Expiration Date

09/30/2022

City

EUGENE

State

Zip

97405

Ever Disciplined

LastModifiedDate

11/28/2022