JACQUELINE M KLOCKENKEMPER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000970

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

KLOCKENKEMPER

Business Name

JACQUELINE M KLOCKENKEMPER

Original Issue Date

11/16/1991

Effective Date

08/12/2023

Expiration Date

09/30/2025

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

12/30/2025