JACK W FOREHAND - Physical Therapist License in Illinois | # 070010019

JACK W FOREHAND

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010019

License Status

NOT RENEWED

Business

N

First Name

JACK W

Last Name

FOREHAND

Business Name

JACK W FOREHAND

Original Issue Date

03/13/1997

Effective Date

03/13/1997

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005