JENNIFER L FALLERT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005683

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

FALLERT

Business Name

JENNIFER L FALLERT

Original Issue Date

07/06/2011

Effective Date

07/14/2025

Expiration Date

09/30/2027

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

07/14/2025