WENDY SUSAN JACKS - Physical Therapist License in Illinois | # 070011640

WENDY SUSAN JACKS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011640

License Status

NOT RENEWED

Business

N

First Name

WENDY

Middle

SUSAN

Last Name

JACKS

Business Name

WENDY SUSAN JACKS

Original Issue Date

12/14/1999

Effective Date

12/14/1999

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005