JACQUELYN ANN LONG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006360

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

ANN

Last Name

LONG

Business Name

JACQUELYN ANN LONG

Original Issue Date

04/29/2013

Effective Date

04/29/2013

Expiration Date

09/30/2013

City

SPIRIT LAKE

State

Zip

51360

County

IOWA

Ever Disciplined

LastModifiedDate

11/12/2013