MATTHEW GERARD HENDRICKSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007474

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

GERARD

Last Name

HENDRICKSON

Business Name

MATTHEW GERARD HENDRICKSON

Original Issue Date

05/02/2016

Effective Date

09/17/2021

Expiration Date

09/30/2023

City

JANESVILLE

State

Zip

53548

Ever Disciplined

LastModifiedDate

02/02/2024