FLORENCE M JANSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003090

License Status

NOT RENEWED

Business

First Name

FLORENCE

Middle

Last Name

JANSEN

Business Name

FLORENCE M JANSEN

Original Issue Date

09/22/1998

Effective Date

09/08/2017

Expiration Date

09/30/2019

City

DAMIANSVILLE

State

Zip

62215

County

CLINTON

Ever Disciplined

LastModifiedDate

01/13/2020