JENNIFER A BAZAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014027

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

BAZAN

Business Name

JENNIFER A BAZAN

Original Issue Date

07/26/2004

Effective Date

07/16/2024

Expiration Date

09/30/2026

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

07/16/2024