MARTHA C GRAM - Physical Therapist License in Colorado | # 070004250

MARTHA C GRAM

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004250

License Status

INACTIVE

Business

N

First Name

MARTHA C

Last Name

GRAM

Business Name

MARTHA C GRAM

Original Issue Date

07/02/1984

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

CO

Ever Disciplined

N

LastModifiedDate

07/13/2006