JACQUELYN ANN LONG - Physical Therapist License in Iowa | # 160006360

JACQUELYN ANN LONG

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006360

License Status

NOT RENEWED

Business

N

First Name

JACQUELYN

Middle

ANN

Last Name

LONG

Business Name

JACQUELYN ANN LONG

Original Issue Date

04/29/2013

Effective Date

04/29/2013

Expiration Date

09/30/2013

State

IA

Ever Disciplined

N

LastModifiedDate

11/12/2013