JON A DEBORD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009875

License Status

ACTIVE

Business

First Name

JON

Middle

Last Name

DEBORD

Business Name

JON A DEBORD

Original Issue Date

12/24/1996

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

09/03/2024