JENNELL S MCINTOSH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024120

License Status

NOT RENEWED

Business

First Name

JENNELL

Middle

Last Name

MCINTOSH

Business Name

JENNELL S MCINTOSH

Original Issue Date

12/04/2018

Effective Date

12/04/2018

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/14/2021