CONRADO D DE JESUS JR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014181

License Status

NOT RENEWED

Business

First Name

CONRADO

Middle

Last Name

DE JESUS

Suffix

Business Name

CONRADO D DE JESUS JR

Original Issue Date

10/07/2004

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

EVANSVILLE

State

Zip

47711

County

INDIANA

Ever Disciplined

LastModifiedDate

11/06/2008