JASON A WENTWORTH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011802

License Status

INACTIVE

Business

First Name

JASON

Middle

Last Name

WENTWORTH

Business Name

JASON A WENTWORTH

Original Issue Date

03/08/2000

Effective Date

09/12/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2020