JEROME NOVAK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013596

License Status

ACTIVE

Business

First Name

JEROME

Last Name

NOVAK

Business Name

JEROME NOVAK

Original Issue Date

08/22/2003

Effective Date

09/28/2024

Expiration Date

09/30/2026

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/28/2024