JAMIE J FIFAREK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017206

License Status

ACTIVE

Business

First Name

JAMIE

Middle

Last Name

FIFAREK

Business Name

JAMIE J FIFAREK

Original Issue Date

07/14/2009

Effective Date

07/09/2024

Expiration Date

09/30/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/09/2024