JENNIFER L DE CLUE - Physical Therapist License in Illinois | # 070009858

JENNIFER L DE CLUE

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009858

License Status

INACTIVE

Business

N

First Name

JENNIFER L

Last Name

DE CLUE

Business Name

JENNIFER L DE CLUE

Original Issue Date

12/11/1996

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/13/2006