JACQUELYN L BUTZEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025481

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

Last Name

BUTZEN

Business Name

JACQUELYN L BUTZEN

Original Issue Date

08/31/2020

Effective Date

08/31/2020

Expiration Date

09/30/2022

City

TINLEY PARK

State

Zip

60477

Ever Disciplined

LastModifiedDate

11/28/2022