JORDAN SCOTT THIEME Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021886

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

SCOTT

Last Name

THIEME

Business Name

JORDAN SCOTT THIEME

Original Issue Date

11/13/2015

Effective Date

09/24/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022