JENNIFER A LEACH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002608

License Status

NOT RENEWED

Business

First Name

JENNIFER A

Last Name

LEACH

Business Name

JENNIFER A LEACH

Original Issue Date

12/16/1996

Effective Date

09/24/2019

Expiration Date

01/31/2022

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/19/2022