CHESTER B JACKSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001449

License Status

INACTIVE

Business

First Name

CHESTER B

Last Name

JACKSON

Business Name

CHESTER B JACKSON

Original Issue Date

01/01/1998

Effective Date

09/01/2010

Expiration Date

09/30/2012

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

07/05/2012