HEIDI MARIE GRENDA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011554

License Status

INACTIVE

Business

First Name

HEIDI

Middle

MARIE

Last Name

GRENDA

Business Name

HEIDI MARIE GRENDA

Original Issue Date

10/27/1999

Effective Date

10/27/1999

Expiration Date

09/30/2004

City

EAU CLAIRE

State

Zip

54701

Ever Disciplined

LastModifiedDate

09/01/2006