JERRAR CLOYD JAVIER INGALLS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020584

License Status

ACTIVE

Business

First Name

JERRAR CLOYD

Middle

JAVIER

Last Name

INGALLS

Business Name

JERRAR CLOYD JAVIER INGALLS

Original Issue Date

03/06/2014

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/16/2024