JACQUELINE JEAN WELLER - Physical Therapist License in Illinois | # 070017645

JACQUELINE JEAN WELLER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017645

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Middle

JEAN

Last Name

WELLER

Business Name

JACQUELINE JEAN WELLER

Original Issue Date

02/19/2010

Effective Date

10/15/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014