TED A GALLUP - Physical Therapist License in Missouri | # 070013300

TED A GALLUP

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013300

License Status

NOT RENEWED

Business

N

First Name

TED

Middle

A

Last Name

GALLUP

Business Name

TED A GALLUP

Original Issue Date

11/15/2002

Effective Date

08/31/2020

Expiration Date

09/30/2022

State

MO

Ever Disciplined

N

LastModifiedDate

11/28/2022