JACOB W GRAHAM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009912

License Status

ACTIVE

Business

First Name

JACOB

Middle

Last Name

GRAHAM

Business Name

JACOB W GRAHAM

Original Issue Date

08/23/2023

Effective Date

07/02/2025

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61103

Ever Disciplined

LastModifiedDate

07/02/2025