GINA C JAY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012315

License Status

NOT RENEWED

Business

First Name

GINA

Middle

Last Name

JAY

Business Name

GINA C JAY

Original Issue Date

02/08/2001

Effective Date

09/27/2016

Expiration Date

09/30/2018

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/05/2018