JACOB S JACKSON - Physical Therapist License in Illinois | # 070024163

JACOB S JACKSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024163

License Status

NOT RENEWED

Business

N

First Name

JACOB

Middle

S

Last Name

JACKSON

Business Name

JACOB S JACKSON

Original Issue Date

02/14/2019

Effective Date

02/14/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021