STEFEN D JACOB Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009542

License Status

ACTIVE

Business

First Name

STEFEN

Middle

Last Name

JACOB

Business Name

STEFEN D JACOB

Original Issue Date

04/17/2022

Effective Date

09/10/2025

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60014

Ever Disciplined

LastModifiedDate

09/10/2025