JACOB M ANDERSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018144

License Status

ACTIVE

Business

First Name

JACOB

Middle

Last Name

ANDERSON

Business Name

JACOB M ANDERSON

Original Issue Date

09/23/2010

Effective Date

09/06/2024

Expiration Date

09/30/2026

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/06/2024