JACQUELIN ANN FARRAR Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002040

License Status

INACTIVE

Business

First Name

JACQUELIN

Middle

ANN

Last Name

FARRAR

Business Name

JACQUELIN ANN FARRAR

Original Issue Date

10/15/1994

Effective Date

07/07/2011

Expiration Date

09/30/2013

City

NEW BADEN

State

Zip

62265

County

CLINTON

Ever Disciplined

LastModifiedDate

07/03/2013