JACQUELINE A BAHR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007636

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

BAHR

Business Name

JACQUELINE A BAHR

Original Issue Date

08/11/2016

Effective Date

09/11/2019

Expiration Date

01/31/2022

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/19/2022