JEAN M THORN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003024

License Status

NOT RENEWED

Business

First Name

JEAN M

Last Name

THORN

Business Name

JEAN M THORN

Original Issue Date

12/24/1979

Effective Date

12/24/1979

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005