THEODORE JAY BECKER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002365

License Status

NOT RENEWED

Business

First Name

THEODORE JAY

Last Name

BECKER

Business Name

THEODORE JAY BECKER

Original Issue Date

02/23/1977

Effective Date

02/23/1977

Expiration Date

09/30/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2005