LESLIE J JOURDAIN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001523

License Status

INACTIVE

Business

First Name

LESLIE J

Last Name

JOURDAIN

Business Name

LESLIE J JOURDAIN

Original Issue Date

09/25/1992

Effective Date

07/09/2009

Expiration Date

09/30/2011

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/07/2011