JACQUELIN ANN FARRAR - Physical Therapist License in Illinois | # 160002040

JACQUELIN ANN FARRAR

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002040

License Status

INACTIVE

Business

N

First Name

JACQUELIN

Middle

ANN

Last Name

FARRAR

Business Name

JACQUELIN ANN FARRAR

Original Issue Date

10/15/1994

Effective Date

07/07/2011

Expiration Date

09/30/2013

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2013