JACOB P VIRGO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020811

License Status

INACTIVE

Business

First Name

JACOB

Middle

Last Name

VIRGO

Business Name

JACOB P VIRGO

Original Issue Date

08/19/2014

Effective Date

09/30/2022

Expiration Date

09/30/2024

City

MUNSTER

State

Zip

46321

County

LAKE

Ever Disciplined

LastModifiedDate

12/02/2024