GAYLE L JAZO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004347

License Status

NOT RENEWED

Business

First Name

GAYLE L

Last Name

JAZO

Business Name

GAYLE L JAZO

Original Issue Date

12/28/1984

Effective Date

09/12/2018

Expiration Date

09/30/2020

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021