JAYLENE DANIELLE THOMPSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025106

License Status

NOT RENEWED

Business

First Name

JAYLENE

Middle

DANIELLE

Last Name

THOMPSON

Business Name

JAYLENE DANIELLE THOMPSON

Original Issue Date

05/27/2020

Effective Date

08/26/2020

Expiration Date

09/30/2022

City

DEKALB

State

Zip

60115

Ever Disciplined

LastModifiedDate

11/28/2022