CANDY L HANSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003070

License Status

NOT RENEWED

Business

First Name

CANDY

Middle

Last Name

HANSEN

Business Name

CANDY L HANSEN

Original Issue Date

12/24/1979

Effective Date

07/31/2014

Expiration Date

09/30/2016

City

JANESVILLE

State

Zip

53545

Ever Disciplined

LastModifiedDate

11/26/2016