JILL MARIE LONGFELLOW Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026423

License Status

NOT RENEWED

Business

First Name

JILL

Middle

MARIE

Last Name

LONGFELLOW

Business Name

JILL MARIE LONGFELLOW

Original Issue Date

01/11/2022

Effective Date

09/27/2022

Expiration Date

09/30/2024

City

PRESCOTT

State

Zip

86303

Ever Disciplined

LastModifiedDate

02/27/2025