JESSICA D DUFAULT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018410

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

DUFAULT

Business Name

JESSICA D DUFAULT

Original Issue Date

05/25/2011

Effective Date

05/25/2011

Expiration Date

09/30/2012

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

01/16/2013