JENNIFER M FERNANDEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001737

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

FERNANDEZ

Business Name

JENNIFER M FERNANDEZ

Original Issue Date

09/18/1993

Effective Date

09/18/1993

Expiration Date

09/30/2001

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005