JENNIFER L MC NULTY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004200

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

MC NULTY

Business Name

JENNIFER L MC NULTY

Original Issue Date

09/10/2003

Effective Date

09/30/2019

Expiration Date

12/31/2021

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

01/01/2022