JACK W FOREHAND Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010019

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005