JACQUELINE CALLAHAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002186

License Status

INACTIVE

Business

First Name

JACQUELINE

Last Name

CALLAHAN

Business Name

JACQUELINE CALLAHAN

Original Issue Date

05/21/1976

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

09/09/2020