ABRAHAM JACOB Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005251

License Status

NOT RENEWED

Business

First Name

ABRAHAM

Last Name

JACOB

Business Name

ABRAHAM JACOB

Original Issue Date

12/15/1987

Effective Date

09/09/2020

Expiration Date

09/30/2022

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022