JACOB JOHNSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009603

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

JOHNSON

Business Name

JACOB JOHNSON

Original Issue Date

07/15/2022

Effective Date

07/15/2022

Expiration Date

09/30/2023

City

KENOSHA

State

Zip

53140

Ever Disciplined

LastModifiedDate

06/05/2025