CHAD A JACOBSON - Physical Therapist License in Illinois | # 070018701

CHAD A JACOBSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018701

License Status

NOT RENEWED

Business

N

First Name

CHAD

Middle

A

Last Name

JACOBSON

Business Name

CHAD A JACOBSON

Original Issue Date

08/05/2011

Effective Date

08/05/2011

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013