JASON ROBERT ELGIN - Physical Therapist License in Wisconsin | # 070013240

JASON ROBERT ELGIN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013240

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

ROBERT

Last Name

ELGIN

Business Name

JASON ROBERT ELGIN

Original Issue Date

10/03/2002

Effective Date

10/03/2016

Expiration Date

09/30/2018

State

WI

Ever Disciplined

N

LastModifiedDate

12/05/2018