JEAN M BOISSEAU Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001231

License Status

NOT RENEWED

Business

First Name

JEAN M

Last Name

BOISSEAU

Business Name

JEAN M BOISSEAU

Original Issue Date

12/23/1991

Effective Date

12/23/1991

Expiration Date

09/30/2003

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005