JODIE L FORT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006801

License Status

NOT RENEWED

Business

First Name

JODIE L

Last Name

FORT

Business Name

JODIE L FORT

Original Issue Date

01/22/1992

Effective Date

01/22/1992

Expiration Date

09/30/1994

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005