JACOB RUSSELL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029347

License Status

ACTIVE

Business

First Name

JACOB

Last Name

RUSSELL

Business Name

JACOB RUSSELL

Original Issue Date

08/21/2025

Effective Date

08/21/2025

Expiration Date

09/30/2026

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

08/12/2025