JACQUELINE A INTRAVAIA - Physical Therapist License in Illinois | # 160009410

JACQUELINE A INTRAVAIA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009410

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Middle

A

Last Name

INTRAVAIA

Business Name

JACQUELINE A INTRAVAIA

Original Issue Date

10/28/2021

Effective Date

07/07/2023

Expiration Date

09/30/2025

State

IL

Ever Disciplined

N

LastModifiedDate

12/30/2025