JASON ROBERT ELGIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013240

License Status

NOT RENEWED

Business

First Name

JASON

Middle

ROBERT

Last Name

ELGIN

Business Name

JASON ROBERT ELGIN

Original Issue Date

10/03/2002

Effective Date

10/03/2016

Expiration Date

09/30/2018

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/05/2018