JACOB ANDREW BASTIN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028718

License Status

ACTIVE

Business

First Name

JACOB

Middle

ANDREW

Last Name

BASTIN

Business Name

JACOB ANDREW BASTIN

Original Issue Date

09/30/2024

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

09/30/2024