JERRY E WEBER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002256

License Status

NOT RENEWED

Business

First Name

JERRY E

Last Name

WEBER

Business Name

JERRY E WEBER

Original Issue Date

11/22/1976

Effective Date

11/22/1976

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/14/2005