JACQUELINE JEAN WELLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017645

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

JEAN

Last Name

WELLER

Business Name

JACQUELINE JEAN WELLER

Original Issue Date

02/19/2010

Effective Date

10/15/2012

Expiration Date

09/30/2014

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014