JANA L PRUITT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007527

License Status

NOT RENEWED

Business

First Name

JANA L

Last Name

PRUITT

Business Name

JANA L PRUITT

Original Issue Date

05/03/1993

Effective Date

09/29/2022

Expiration Date

09/30/2024

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

02/27/2025