JACKIE KAY HANNON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026314

License Status

ACTIVE

Business

First Name

JACKIE

Middle

KAY

Last Name

HANNON

Business Name

JACKIE KAY HANNON

Original Issue Date

10/13/2021

Effective Date

09/15/2024

Expiration Date

09/30/2026

City

WATERLOO

State

Zip

62298

Ever Disciplined

LastModifiedDate

09/15/2024