JESSICA SONG DPT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026406

License Status

NOT RENEWED

Business

Title

DPT

First Name

JESSICA

Last Name

SONG

Business Name

JESSICA SONG DPT

Original Issue Date

12/22/2021

Effective Date

09/23/2022

Expiration Date

09/30/2024

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/24/2025