MARIA A JACENKO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005811

License Status

NOT RENEWED

Business

First Name

MARIA A

Last Name

JACENKO

Business Name

MARIA A JACENKO

Original Issue Date

10/14/1989

Effective Date

10/14/1989

Expiration Date

09/30/1992

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2005