JILL C LONG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011705

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

LONG

Business Name

JILL C LONG

Original Issue Date

01/26/2000

Effective Date

01/26/2000

Expiration Date

09/30/2004

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005