JACQUELINE MARIE HAUPTLY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012185

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

MARIE

Last Name

HAUPTLY

Business Name

JACQUELINE MARIE HAUPTLY

Original Issue Date

11/01/2000

Effective Date

11/01/2000

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005