JENNIFER L DE CLUE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009858

License Status

INACTIVE

Business

First Name

JENNIFER L

Last Name

DE CLUE

Business Name

JENNIFER L DE CLUE

Original Issue Date

12/11/1996

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

MORO

State

Zip

62067

County

MADISON

Ever Disciplined

LastModifiedDate

07/13/2006