License holder summary

JACQUELYN MICHELLE GREEN is a Temporary Physical Therapist licensed to practice in Pennsylvania. The address on file for JACQUELYN MICHELLE GREEN is Harrisburg PA 17109. This licensed professional license is not current. The license was granted 06/09/2006 and expired on 12/09/2006.

Pennsylvania

Department of State

JACQUELYN MICHELLE GREEN
Temporary Physical Therapist
License number
TPT020291
Date granted
06/09/2006
Date expires
12/09/2006
Class
Temporary Physical Therapist
Status
Voided
Address
Harrisburg PA 17109
palicensing.org
ID 17332272
LAST UPDATED 2024-03-09 18:54:15 UTC

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