HEIDI MARIE PESZAT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004429

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

MARIE

Last Name

PESZAT

Business Name

HEIDI MARIE PESZAT

Original Issue Date

05/06/2005

Effective Date

10/01/2019

Expiration Date

01/31/2022

City

TWIN LAKES

State

Zip

53181

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/19/2022