JASON W WILLER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013867

License Status

INACTIVE

Business

First Name

JASON

Middle

Last Name

WILLER

Business Name

JASON W WILLER

Original Issue Date

03/25/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

MANCHESTER

State

Zip

03101

County

NEW HAMPSHIRE

Ever Disciplined

LastModifiedDate

07/13/2006