WENDY SUSAN JACKS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011640

License Status

NOT RENEWED

Business

First Name

WENDY

Middle

SUSAN

Last Name

JACKS

Business Name

WENDY SUSAN JACKS

Original Issue Date

12/14/1999

Effective Date

12/14/1999

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005