JANA LEIGH FACKRELL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002427

License Status

INACTIVE

Business

First Name

JANA LEIGH

Last Name

FACKRELL

Business Name

JANA LEIGH FACKRELL

Original Issue Date

05/23/1977

Effective Date

05/23/1977

Expiration Date

09/30/1984

City

ANTIOCH

State

Zip

94509

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/14/2005