JESSICA SONG DPT - Physical Therapist License in Illinois | # 070026406

JESSICA SONG DPT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026406

License Status

NOT RENEWED

Business

N

Title

DPT

First Name

JESSICA

Last Name

SONG

Business Name

JESSICA SONG DPT

Original Issue Date

12/22/2021

Effective Date

09/23/2022

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

04/24/2025