JENNIFER R HELLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004081

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

HELLER

Business Name

JENNIFER R HELLER

Original Issue Date

09/04/2002

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/25/2008