JAN M WILSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000263

License Status

NOT RENEWED

Business

First Name

JAN M

Last Name

WILSON

Business Name

JAN M WILSON

Original Issue Date

07/22/1991

Effective Date

11/05/2021

Expiration Date

09/30/2023

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

02/02/2024