DAVID ANTHONY GILLIS - Physical Therapist License in Wisconsin | # 070013290

DAVID ANTHONY GILLIS

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013290

License Status

INACTIVE

Business

N

First Name

DAVID

Middle

ANTHONY

Last Name

GILLIS

Business Name

DAVID ANTHONY GILLIS

Original Issue Date

11/13/2002

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

WI

Ever Disciplined

N

LastModifiedDate

07/13/2006