JENNIFER HELEN LAVIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021609

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

HELEN

Last Name

LAVIN

Business Name

JENNIFER HELEN LAVIN

Original Issue Date

08/11/2015

Effective Date

09/30/2020

Expiration Date

09/30/2022

City

THORNTON

State

Zip

80260

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/28/2022