JEFFERY A POWELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005451

License Status

NOT RENEWED

Business

First Name

JEFFERY

Middle

Last Name

POWELL

Business Name

JEFFERY A POWELL

Original Issue Date

06/14/1988

Effective Date

09/10/2020

Expiration Date

09/30/2022

City

EAST CHICAGO

State

Zip

46312

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/28/2022