JACKLYN MICHELLE MALT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028845

License Status

ACTIVE

Business

First Name

JACKLYN

Middle

MICHELLE

Last Name

MALT

Business Name

JACKLYN MICHELLE MALT

Original Issue Date

12/23/2024

Effective Date

12/23/2024

Expiration Date

09/30/2026

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

09/13/2024