JAMIE J CROCKETT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004634

License Status

ACTIVE

Business

First Name

JAMIE

Middle

Last Name

CROCKETT

Business Name

JAMIE J CROCKETT

Original Issue Date

09/05/2006

Effective Date

08/27/2025

Expiration Date

09/30/2027

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

08/27/2025