JONATHAN E STAAB Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023097

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

Last Name

STAAB

Business Name

JONATHAN E STAAB

Original Issue Date

08/14/2017

Effective Date

07/01/2024

Expiration Date

09/30/2026

City

GENESEO

State

Zip

61254

Ever Disciplined

LastModifiedDate

07/02/2024