SUSAN R JACOBSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004676

License Status

NOT RENEWED

Business

First Name

SUSAN R

Last Name

JACOBSON

Business Name

SUSAN R JACOBSON

Original Issue Date

12/31/1985

Effective Date

12/31/1985

Expiration Date

09/30/1990

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005