JENELLE J BERTOLINO-ISHMAEL - Physical Therapist License in Illinois | # 160000842

JENELLE J BERTOLINO-ISHMAEL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000842

License Status

NOT RENEWED

Business

N

First Name

JENELLE J

Last Name

BERTOLINO-ISHMAEL

Business Name

JENELLE J BERTOLINO-ISHMAEL

Original Issue Date

10/30/1991

Effective Date

08/15/2011

Expiration Date

09/30/2013

State

IL

Ever Disciplined

N

LastModifiedDate

11/12/2013