SANDRA L JACOBS - Physical Therapist License in Wisconsin | # 160003197

SANDRA L JACOBS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003197

License Status

NOT RENEWED

Business

N

First Name

SANDRA

Middle

L

Last Name

JACOBS

Business Name

SANDRA L JACOBS

Original Issue Date

11/02/1998

Effective Date

11/02/1998

Expiration Date

09/30/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005