JACKILYN ROSE WELLER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028137

License Status

ACTIVE

Business

First Name

JACKILYN

Middle

ROSE

Last Name

WELLER

Business Name

JACKILYN ROSE WELLER

Original Issue Date

03/20/2024

Effective Date

08/12/2024

Expiration Date

09/30/2026

City

CULLOM

State

Zip

60929

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

08/12/2024