JODI L ENNIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000688

License Status

NOT RENEWED

Business

First Name

JODI L

Last Name

ENNIS

Business Name

JODI L ENNIS

Original Issue Date

10/23/1991

Effective Date

10/23/1991

Expiration Date

09/30/1999

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2005