JEROME T UTHUPAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024861

License Status

ACTIVE

Business

First Name

JEROME

Middle

Last Name

UTHUPAN

Business Name

JEROME T UTHUPAN

Original Issue Date

11/21/2019

Effective Date

09/08/2024

Expiration Date

09/30/2026

City

WOODRIDGE

State

Zip

60517

Ever Disciplined

LastModifiedDate

09/08/2024