JENNIFER A MIROCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013212

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

MIROCK

Business Name

JENNIFER A MIROCK

Original Issue Date

09/13/2002

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

11/08/2006