JENNIFER M VERNON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004158

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

VERNON

Business Name

JENNIFER M VERNON

Original Issue Date

02/07/2003

Effective Date

02/07/2003

Expiration Date

09/30/2005

City

LIBERTY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005