JAE BOLIN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008341

License Status

ACTIVE

Business

First Name

JAE

Last Name

BOLIN

Business Name

JAE BOLIN

Original Issue Date

08/28/2018

Effective Date

09/29/2025

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

Ever Disciplined

LastModifiedDate

09/29/2025