JILL D HART Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004824

License Status

NOT RENEWED

Business

First Name

JILL D

Last Name

HART

Business Name

JILL D HART

Original Issue Date

06/17/1986

Effective Date

06/17/1986

Expiration Date

09/30/1986

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2005