JAMIE M FURST Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005704

License Status

INACTIVE

Business

First Name

JAMIE

Middle

Last Name

FURST

Business Name

JAMIE M FURST

Original Issue Date

07/19/2011

Effective Date

09/28/2015

Expiration Date

09/30/2017

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

09/28/2015