CHARLES A JACOBS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001028

License Status

INACTIVE

Business

First Name

CHARLES A

Last Name

JACOBS

Business Name

CHARLES A JACOBS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

09/01/2006