JASON L HAZEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014652

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

HAZEL

Business Name

JASON L HAZEL

Original Issue Date

09/27/2005

Effective Date

09/27/2005

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

02/06/2007