Michigan
Department of Licensing and Regulation
JACOB DOUGLAS EISEN
Physical Therapy - Physical Therapist Assistant
License number
5502004498
Date granted
04/30/2015
Date expires
07/31/2018
Class
Physical Therapy - Physical Therapist Assistant
Status
Active
Address
michiganlicensing.org
ID 39303536
LAST UPDATED 2024-05-08 02:05:21 UTC
LAST UPDATED 2024-05-08 02:05:21 UTC
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