ERIN N JACKSON - Physical Therapist License in Illinois | # 160003127

ERIN N JACKSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003127

License Status

NOT RENEWED

Business

N

First Name

ERIN

Middle

N

Last Name

JACKSON

Business Name

ERIN N JACKSON

Original Issue Date

10/02/1998

Effective Date

10/02/1998

Expiration Date

09/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005