JILL A JACKSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003862

License Status

NOT RENEWED

Business

First Name

JILL A

Last Name

JACKSON

Business Name

JILL A JACKSON

Original Issue Date

02/08/1983

Effective Date

09/08/2014

Expiration Date

09/30/2016

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/26/2016