ELIZA M JACOB Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013086

License Status

ACTIVE

Business

First Name

ELIZA

Middle

Last Name

JACOB

Business Name

ELIZA M JACOB

Original Issue Date

06/26/2002

Effective Date

09/14/2024

Expiration Date

09/30/2026

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/14/2024