JASE M GREEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007245

License Status

ACTIVE

Business

First Name

JASE

Middle

Last Name

GREEN

Business Name

JASE M GREEN

Original Issue Date

08/05/2015

Effective Date

08/27/2025

Expiration Date

09/30/2027

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

08/27/2025