JACQUELINE DENISE LAY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004208

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

DENISE

Last Name

LAY

Business Name

JACQUELINE DENISE LAY

Original Issue Date

10/02/2003

Effective Date

08/04/2015

Expiration Date

09/30/2017

City

LITCHFIELD PARK

State

Zip

85340

Ever Disciplined

LastModifiedDate

11/01/2017