JINEANE BLACK HEYBECK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003340

License Status

NOT RENEWED

Business

First Name

JINEANE

Middle

BLACK

Last Name

HEYBECK

Business Name

JINEANE BLACK HEYBECK

Original Issue Date

01/08/1981

Effective Date

07/12/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018