JENNIFER E LACIJAN - Physical Therapist License in Illinois | # 070011271

JENNIFER E LACIJAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011271

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

E

Last Name

LACIJAN

Business Name

JENNIFER E LACIJAN

Original Issue Date

04/26/1999

Effective Date

04/26/1999

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005