JAMIE JACOB - Physical Therapist License in New York | # 070024273

JAMIE JACOB

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024273

License Status

NOT RENEWED

Business

N

First Name

JAMIE

Last Name

JACOB

Business Name

JAMIE JACOB

Original Issue Date

04/25/2019

Effective Date

04/25/2019

Expiration Date

09/30/2020

State

NY

Ever Disciplined

N

LastModifiedDate

01/14/2021