JACOB RUSSELL - Physical Therapist License in Illinois | # 070029347

JACOB RUSSELL

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029347

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

08/12/2025