BRYAN WEBSTER JACKSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013271

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

WEBSTER

Last Name

JACKSON

Business Name

BRYAN WEBSTER JACKSON

Original Issue Date

10/28/2002

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

02/08/2007