ERIC LAMAR GATEWOOD - Physical Therapist License in Indiana | # 160003124

ERIC LAMAR GATEWOOD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003124

License Status

NOT RENEWED

Business

N

First Name

ERIC

Middle

LAMAR

Last Name

GATEWOOD

Business Name

ERIC LAMAR GATEWOOD

Original Issue Date

10/02/1998

Effective Date

10/02/1998

Expiration Date

09/30/1999

State

IN

Ever Disciplined

N

LastModifiedDate

10/14/2005