JEFF MOCILAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009735

License Status

NOT RENEWED

Business

First Name

JEFF

Last Name

MOCILAN

Business Name

JEFF MOCILAN

Original Issue Date

10/23/1996

Effective Date

08/14/2018

Expiration Date

09/30/2020

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2021