JACOB MUTHOLAM - Physical Therapist License in Illinois | # 070004073

JACOB MUTHOLAM

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004073

License Status

ACTIVE

Business

N

First Name

JACOB

Last Name

MUTHOLAM

Business Name

JACOB MUTHOLAM

Original Issue Date

10/28/1983

Effective Date

09/16/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/16/2024