TERESA K HAYWORTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012012

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

HAYWORTH

Business Name

TERESA K HAYWORTH

Original Issue Date

07/27/2000

Effective Date

07/27/2000

Expiration Date

09/30/2002

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005