ANDREW L JACOBS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017415

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

JACOBS

Business Name

ANDREW L JACOBS

Original Issue Date

09/09/2009

Effective Date

09/09/2009

Expiration Date

09/30/2010

City

SAINT LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/08/2010