JILL J JACKSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002331

License Status

NOT RENEWED

Business

First Name

JILL J

Last Name

JACKSON

Business Name

JILL J JACKSON

Original Issue Date

10/25/1995

Effective Date

08/23/2011

Expiration Date

09/30/2013

City

FLUSHING

State

Zip

48433

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/12/2013