JACOB C LARSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008645

License Status

ACTIVE

Business

First Name

JACOB

Middle

Last Name

LARSON

Business Name

JACOB C LARSON

Original Issue Date

08/03/2019

Effective Date

10/01/2025

Expiration Date

09/30/2027

City

ISLAND LAKE

State

Zip

60042

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/01/2025