JENNIFER A ROACH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002796

License Status

NOT RENEWED

Business

First Name

JENNIFER A

Last Name

ROACH

Business Name

JENNIFER A ROACH

Original Issue Date

09/19/1997

Effective Date

09/19/1997

Expiration Date

09/30/2003

City

WOODBURY

State

Zip

55125

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/17/2005