JACQUELYN HEIDEM SPEAS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001513

License Status

NOT RENEWED

Business

First Name

JACQUELYN HEIDEM

Last Name

SPEAS

Business Name

JACQUELYN HEIDEM SPEAS

Original Issue Date

01/01/1998

City

FT MYERS

State

Zip

33901

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/14/2005