JESSIE M STOCKWELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007874

License Status

NOT RENEWED

Business

First Name

JESSIE

Middle

Last Name

STOCKWELL

Business Name

JESSIE M STOCKWELL

Original Issue Date

07/31/2017

Effective Date

07/31/2017

Expiration Date

09/30/2019

City

NAPERVILLE

State

Zip

60563

Ever Disciplined

LastModifiedDate

01/13/2020