JEROLD E DAVIS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006019

License Status

ACTIVE

Business

First Name

JEROLD E

Last Name

DAVIS

Business Name

JEROLD E DAVIS

Original Issue Date

03/24/1990

Effective Date

08/12/2024

Expiration Date

09/30/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

08/12/2024