JENNIFER L LONG Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009976

License Status

INACTIVE

Business

First Name

JENNIFER L

Last Name

LONG

Business Name

JENNIFER L LONG

Original Issue Date

02/11/1997

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PALMS

State

Zip

48465

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/13/2006