KATIE M JACOBS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003867

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

JACOBS

Business Name

KATIE M JACOBS

Original Issue Date

08/17/2001

Effective Date

08/17/2001

Expiration Date

09/30/2005

City

CORAL SPRINGS

State

Zip

33067

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005