JEANNINE M KNICKERBOCKER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013616

License Status

ACTIVE

Business

First Name

JEANNINE

Middle

Last Name

KNICKERBOCKER

Business Name

JEANNINE M KNICKERBOCKER

Original Issue Date

09/05/2003

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

BRISTOL

State

Zip

60512

County

KENDALL

Ever Disciplined

LastModifiedDate

09/03/2024