JENNIFER M THEISEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015945

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

THEISEN

Business Name

JENNIFER M THEISEN

BusinessDBA

KREMA

Original Issue Date

08/27/2007

Effective Date

09/05/2018

Expiration Date

09/30/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021