JACOB P RICHARDSEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000895

License Status

INACTIVE

Business

First Name

JACOB P

Last Name

RICHARDSEN

Business Name

JACOB P RICHARDSEN

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

TRAVERSE CITY

State

Zip

49686

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/17/2005