JENNIFER LYNN VINCENZO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013524

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

VINCENZO

Business Name

JENNIFER LYNN VINCENZO

Original Issue Date

05/28/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/08/2006