TRACY DUTTON JENKINS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002800

License Status

NOT RENEWED

Business

First Name

TRACY DUTTON

Last Name

JENKINS

Business Name

TRACY DUTTON JENKINS

Original Issue Date

12/18/1978

Effective Date

12/18/1978

Expiration Date

09/30/1988

City

SHOREWOOD

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/14/2005