SUSAN K JENSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002863

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

JENSEN

Business Name

SUSAN K JENSEN

Original Issue Date

02/05/1979

Effective Date

02/05/1979

Expiration Date

09/30/1992

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005