GINA M JOHANNESMAN - Physical Therapist License in Missouri | # 070009794

GINA M JOHANNESMAN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009794

License Status

INACTIVE

Business

N

First Name

GINA M

Last Name

JOHANNESMAN

Business Name

GINA M JOHANNESMAN

Original Issue Date

11/13/1996

Effective Date

11/13/1996

Expiration Date

09/30/1998

State

MO

Ever Disciplined

N

LastModifiedDate

10/14/2005