RAE A GAUDET - Physical Therapist License in Illinois | # 070012175

RAE A GAUDET

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012175

License Status

NOT RENEWED

Business

N

First Name

RAE

Middle

A

Last Name

GAUDET

Business Name

RAE A GAUDET

Original Issue Date

10/24/2000

Effective Date

10/24/2000

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005