JACQUELINE A MAILLEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002895

License Status

NOT RENEWED

Business

First Name

JACQUELINE A

Last Name

MAILLEY

Business Name

JACQUELINE A MAILLEY

Original Issue Date

12/03/1997

Effective Date

07/09/2009

Expiration Date

09/30/2011

City

ELIZABETH CITY

State

Zip

27909

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

11/04/2011