KARRIE L JACOBSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005642

License Status

NOT RENEWED

Business

First Name

KARRIE L

Last Name

JACOBSEN

Business Name

KARRIE L JACOBSEN

Original Issue Date

01/10/1989

Effective Date

01/10/1989

Expiration Date

09/30/1994

City

HOLLAND

State

Zip

49424

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/14/2005