JACQUELINE EDMON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005915

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

EDMON

Business Name

JACQUELINE EDMON

Original Issue Date

12/20/2011

Effective Date

09/30/2023

Expiration Date

09/30/2025

City

HAMMOND

State

Zip

46320

Ever Disciplined

LastModifiedDate

12/30/2025