JOELLEN P DAVIDSON - Physical Therapist License in Illinois | # 160001024

JOELLEN P DAVIDSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001024

License Status

NOT RENEWED

Business

N

First Name

JOELLEN P

Last Name

DAVIDSON

Business Name

JOELLEN P DAVIDSON

Original Issue Date

11/23/1991

Effective Date

08/27/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/19/2022