SUSAN M JANSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003704

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

JANSEN

Business Name

SUSAN M JANSEN

Original Issue Date

10/18/2000

Effective Date

09/04/2019

Expiration Date

01/31/2022

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

05/19/2022