JILL M TELLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006149

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

TELLER

Business Name

JILL M TELLER

Original Issue Date

08/15/2012

Effective Date

07/29/2015

Expiration Date

09/30/2017

City

KILDEER

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017