JILL C HAVENS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018159

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

HAVENS

Business Name

JILL C HAVENS

Original Issue Date

10/01/2010

Effective Date

10/01/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

01/16/2013