JESSICA D DUFAULT - Physical Therapist License in Illinois | # 070018410

JESSICA D DUFAULT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018410

License Status

NOT RENEWED

Business

N

First Name

JESSICA

Middle

D

Last Name

DUFAULT

Business Name

JESSICA D DUFAULT

Original Issue Date

05/25/2011

Effective Date

05/25/2011

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013