LAILA BREANA JASON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023776

License Status

NOT RENEWED

Business

First Name

LAILA

Middle

BREANA

Last Name

JASON

Business Name

LAILA BREANA JASON

Original Issue Date

08/14/2018

Effective Date

08/07/2020

Expiration Date

09/30/2022

City

EDWARDSVILLE

State

Zip

62025

Ever Disciplined

LastModifiedDate

11/28/2022