JENELLE J BERTOLINO-ISHMAEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000842

License Status

NOT RENEWED

Business

First Name

JENELLE J

Last Name

BERTOLINO-ISHMAEL

Business Name

JENELLE J BERTOLINO-ISHMAEL

Original Issue Date

10/30/1991

Effective Date

08/15/2011

Expiration Date

09/30/2013

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/12/2013