GREGGORY GOODMAN - Physical Therapist License in Illinois | # 160007718

GREGGORY GOODMAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007718

License Status

NOT RENEWED

Business

N

First Name

GREGGORY

Last Name

GOODMAN

Business Name

GREGGORY GOODMAN

Original Issue Date

11/01/2016

Effective Date

08/22/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/19/2022