LUIS M JIMENEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009473

License Status

NOT RENEWED

Business

First Name

LUIS M

Last Name

JIMENEZ

Business Name

LUIS M JIMENEZ

Original Issue Date

05/02/1996

Effective Date

08/04/2014

Expiration Date

09/30/2016

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/26/2016