JESSICA M HERGOTT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022940

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

HERGOTT

Business Name

JESSICA M HERGOTT

Original Issue Date

05/17/2017

Effective Date

05/17/2017

Expiration Date

09/30/2018

City

DOVER

State

Zip

03820

Ever Disciplined

LastModifiedDate

12/05/2018