JACQUELINE E GREEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025931

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

GREEN

Business Name

JACQUELINE E GREEN

Original Issue Date

06/04/2021

Effective Date

06/04/2021

Expiration Date

09/30/2022

City

BUFFALO GROVE

State

Zip

60089

Ever Disciplined

LastModifiedDate

11/28/2022