KRYSTAL K JECEVICUS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005154

License Status

ACTIVE

Business

First Name

KRYSTAL

Middle

Last Name

JECEVICUS

Business Name

KRYSTAL K JECEVICUS

Original Issue Date

03/03/2009

Effective Date

09/21/2025

Expiration Date

09/30/2027

City

KENOSHA

State

Zip

53140

Ever Disciplined

LastModifiedDate

09/21/2025