JASON EVAN ROBERTS - Physical Therapist License in Illinois | # 070012543

JASON EVAN ROBERTS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012543

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

EVAN

Last Name

ROBERTS

Business Name

JASON EVAN ROBERTS

Original Issue Date

07/26/2001

Effective Date

07/26/2001

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005