JESSICA LYNN SUPER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017075

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

LYNN

Last Name

SUPER

Business Name

JESSICA LYNN SUPER

Original Issue Date

05/01/2009

Effective Date

08/16/2010

Expiration Date

09/30/2012

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

01/16/2013