JASON EVAN ROBERTS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012543

License Status

NOT RENEWED

Business

First Name

JASON

Middle

EVAN

Last Name

ROBERTS

Business Name

JASON EVAN ROBERTS

Original Issue Date

07/26/2001

Effective Date

07/26/2001

Expiration Date

09/30/2004

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005