JASON M PETZOLD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010390

License Status

ACTIVE

Business

First Name

JASON

Middle

Last Name

PETZOLD

Business Name

JASON M PETZOLD

Original Issue Date

04/21/2025

Effective Date

07/02/2025

Expiration Date

09/30/2027

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

08/18/2025