JASON A WENTWORTH - Physical Therapist License in Illinois | # 070011802

JASON A WENTWORTH

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011802

License Status

INACTIVE

Business

N

First Name

JASON

Middle

A

Last Name

WENTWORTH

Business Name

JASON A WENTWORTH

Original Issue Date

03/08/2000

Effective Date

09/12/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2020