JEAN M VASA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004658

License Status

NOT RENEWED

Business

First Name

JEAN M

Last Name

VASA

Business Name

JEAN M VASA

Original Issue Date

12/31/1985

Effective Date

07/04/2022

Expiration Date

09/30/2024

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/27/2025