ERIN N JACKSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003127

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

JACKSON

Business Name

ERIN N JACKSON

Original Issue Date

10/02/1998

Effective Date

10/02/1998

Expiration Date

09/30/2003

City

TOULON

State

Zip

61483

County

STARK

Ever Disciplined

LastModifiedDate

10/17/2005