JACQUELINE M VAN TOL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004579

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

VAN TOL

Business Name

JACQUELINE M VAN TOL

Original Issue Date

11/25/1985

Effective Date

11/25/1985

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005