JACQUELINE MARIE HAUPTLY - Physical Therapist License in Illinois | # 070012185

JACQUELINE MARIE HAUPTLY

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012185

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Middle

MARIE

Last Name

HAUPTLY

Business Name

JACQUELINE MARIE HAUPTLY

Original Issue Date

11/01/2000

Effective Date

11/01/2000

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005