JAROSLAW D PUT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007863

License Status

ACTIVE

Business

First Name

JAROSLAW D

Last Name

PUT

Business Name

JAROSLAW D PUT

Original Issue Date

10/16/1993

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/03/2024