JILL C FOWLKS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008671

License Status

ACTIVE

Business

First Name

JILL

Middle

Last Name

FOWLKS

Business Name

JILL C FOWLKS

Original Issue Date

02/15/1995

Effective Date

09/18/2024

Expiration Date

09/30/2026

City

BUSHNELL

State

Zip

61422

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/18/2024