JASON DEAN HAAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015735

License Status

NOT RENEWED

Business

First Name

JASON

Middle

DEAN

Last Name

HAAK

Business Name

JASON DEAN HAAK

Original Issue Date

04/26/2007

Effective Date

08/30/2012

Expiration Date

09/30/2014

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014