JORDAN PICKENS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009620

License Status

NOT RENEWED

Business

First Name

JORDAN

Last Name

PICKENS

Business Name

JORDAN PICKENS

Original Issue Date

08/24/2022

Effective Date

08/24/2022

Expiration Date

09/30/2023

City

DYER

State

Zip

46311

Ever Disciplined

LastModifiedDate

02/02/2024