CHAD A JACOBSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018701

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

JACOBSON

Business Name

CHAD A JACOBSON

Original Issue Date

08/05/2011

Effective Date

08/05/2011

Expiration Date

09/30/2012

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

01/16/2013