JASON M PETZOLD - Physical Therapist License in Illinois | # 160010390

JASON M PETZOLD

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010390

License Status

ACTIVE

Business

N

First Name

JASON

Middle

M

Last Name

PETZOLD

Business Name

JASON M PETZOLD

Original Issue Date

04/21/2025

Effective Date

07/02/2025

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/18/2025