JENNIFER L LONG - Physical Therapist License in Michigan | # 070009976

JENNIFER L LONG

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009976

License Status

INACTIVE

Business

N

First Name

JENNIFER L

Last Name

LONG

Business Name

JENNIFER L LONG

Original Issue Date

02/11/1997

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

MI

Ever Disciplined

N

LastModifiedDate

07/13/2006