ROBIN M JURICH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003623

License Status

INACTIVE

Business

First Name

ROBIN

Middle

Last Name

JURICH

Business Name

ROBIN M JURICH

Original Issue Date

07/11/2000

Effective Date

09/05/2019

Expiration Date

12/31/2021

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/30/2021