MICHAEL JOSEPH HENNIGAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009504

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOSEPH

Last Name

HENNIGAN

Business Name

MICHAEL JOSEPH HENNIGAN

Original Issue Date

01/19/2022

Effective Date

01/19/2022

Expiration Date

09/30/2023

City

LAKE GENEVA

State

Zip

53147

Ever Disciplined

LastModifiedDate

02/02/2024