JEREMY W SKOOG - Physical Therapist License in South Carolina | # 070011236

JEREMY W SKOOG

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011236

License Status

INACTIVE

Business

N

First Name

JEREMY

Middle

W

Last Name

SKOOG

Business Name

JEREMY W SKOOG

Original Issue Date

04/05/1999

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

SC

Ever Disciplined

N

LastModifiedDate

07/13/2006