JENNIFER A WOODHAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009488

License Status

NOT RENEWED

Business

First Name

JENNIFER A

Last Name

WOODHAM

Business Name

JENNIFER A WOODHAM

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

09/30/1998

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/14/2005