JACLYN MICHELLE TATE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022097

License Status

ACTIVE

Business

First Name

JACLYN

Middle

MICHELLE

Last Name

TATE

Business Name

JACLYN MICHELLE TATE

Original Issue Date

03/22/2016

Effective Date

09/22/2024

Expiration Date

09/30/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/22/2024