JESSICA LYNN SUPER - Physical Therapist License in Illinois | # 070017075

JESSICA LYNN SUPER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017075

License Status

NOT RENEWED

Business

N

First Name

JESSICA

Middle

LYNN

Last Name

SUPER

Business Name

JESSICA LYNN SUPER

Original Issue Date

05/01/2009

Effective Date

08/16/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013