JACOB GLENN PARISH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026640

License Status

ACTIVE

Business

First Name

JACOB

Middle

GLENN

Last Name

PARISH

Business Name

JACOB GLENN PARISH

Original Issue Date

06/27/2022

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62712

Ever Disciplined

LastModifiedDate

09/16/2024