JAMIE JACOB Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024273

License Status

NOT RENEWED

Business

First Name

JAMIE

Last Name

JACOB

Business Name

JAMIE JACOB

Original Issue Date

04/25/2019

Effective Date

04/25/2019

Expiration Date

09/30/2020

City

NEW ROCHELLE

State

Zip

10804

Ever Disciplined

LastModifiedDate

01/14/2021