JARED LOUIS DEFAUW Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010070

License Status

ACTIVE

Business

First Name

JARED

Middle

LOUIS

Last Name

DEFAUW

Business Name

JARED LOUIS DEFAUW

Original Issue Date

02/18/2024

Effective Date

09/02/2025

Expiration Date

09/30/2027

City

DAVENPORT

State

Zip

52806

Ever Disciplined

LastModifiedDate

10/13/2025