JORDAN T PARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009850

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

Last Name

PARK

Business Name

JORDAN T PARK

Original Issue Date

05/13/2023

Effective Date

05/13/2023

Expiration Date

09/30/2023

City

BROOKSVILLE

State

Zip

34604

Ever Disciplined

LastModifiedDate

02/02/2024