JOELLEN P DAVIDSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001024

License Status

NOT RENEWED

Business

First Name

JOELLEN P

Last Name

DAVIDSON

Business Name

JOELLEN P DAVIDSON

Original Issue Date

11/23/1991

Effective Date

08/27/2019

Expiration Date

01/31/2022

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/19/2022