PAM J JACKSON - Physical Therapist License in Illinois | # 070004547

PAM J JACKSON

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004547

License Status

INACTIVE

Business

N

First Name

PAM J

Last Name

JACKSON

Business Name

PAM J JACKSON

Original Issue Date

08/16/1985

Effective Date

08/16/1985

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005