CAMELLIA K JAKOMINICH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004293

License Status

INACTIVE

Business

First Name

CAMELLIA

Middle

Last Name

JAKOMINICH

Business Name

CAMELLIA K JAKOMINICH

Original Issue Date

05/27/2004

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

07/05/2007