JENELLE M DEATHERAGE - Physical Therapist License in Illinois | # 070020706

JENELLE M DEATHERAGE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020706

License Status

NOT RENEWED

Business

N

First Name

JENELLE

Middle

M

Last Name

DEATHERAGE

Business Name

JENELLE M DEATHERAGE

Original Issue Date

06/24/2014

Effective Date

08/06/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021