JACOB P VIRGO - Physical Therapist License in Indiana | # 070020811

JACOB P VIRGO

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020811

License Status

INACTIVE

Business

N

First Name

JACOB

Middle

P

Last Name

VIRGO

Business Name

JACOB P VIRGO

Original Issue Date

08/19/2014

Effective Date

09/30/2022

Expiration Date

09/30/2024

State

IN

Ever Disciplined

N

LastModifiedDate

12/02/2024