JENNIFER E GUILLIAMS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002598

License Status

INACTIVE

Business

First Name

JENNIFER E

Last Name

GUILLIAMS

Business Name

JENNIFER E GUILLIAMS

Original Issue Date

12/06/1996

Effective Date

12/06/1996

Expiration Date

09/30/2005

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

10/17/2005