JAMIE L CALDWELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004642

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

CALDWELL

Business Name

JAMIE L CALDWELL

Original Issue Date

09/12/2006

Effective Date

09/26/2023

Expiration Date

09/30/2025

City

EDELSTEIN

State

Zip

61526

County

PEORIA

Ever Disciplined

LastModifiedDate

12/30/2025