JILL A S PINK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014014

License Status

INACTIVE

Business

First Name

JILL

Middle

A S

Last Name

PINK

Business Name

JILL A S PINK

Original Issue Date

07/20/2004

Effective Date

07/07/2018

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2020