JEANNE A JACKSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004850

License Status

NOT RENEWED

Business

First Name

JEANNE A

Last Name

JACKSON

Business Name

JEANNE A JACKSON

Original Issue Date

12/22/1986

Effective Date

12/22/1986

Expiration Date

09/30/1996

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005