NATHAN W JACOBS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022344

License Status

ACTIVE

Business

First Name

NATHAN

Middle

Last Name

JACOBS

Business Name

NATHAN W JACOBS

Original Issue Date

08/11/2016

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

COAL VALLEY

State

Zip

61240

County

HENRY

Ever Disciplined

LastModifiedDate

09/05/2024