JILL M POLSEAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004635

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

POLSEAN

Business Name

JILL M POLSEAN

BusinessDBA

LINDEMAN

Original Issue Date

09/05/2006

Effective Date

09/10/2019

Expiration Date

01/31/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/19/2022