JILL C LONG - Physical Therapist License in Illinois | # 070011705

JILL C LONG

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011705

License Status

NOT RENEWED

Business

N

First Name

JILL

Middle

C

Last Name

LONG

Business Name

JILL C LONG

Original Issue Date

01/26/2000

Effective Date

01/26/2000

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005