CARL A HAYNES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021798

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

HAYNES

Business Name

CARL A HAYNES

Original Issue Date

08/27/2015

Effective Date

08/30/2018

Expiration Date

09/30/2020

City

JACKSON

State

Zip

53037

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021