SUSAN E GROSS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001573

License Status

INACTIVE

Business

First Name

SUSAN E

Last Name

GROSS

Business Name

SUSAN E GROSS

Original Issue Date

05/26/1972

Effective Date

05/26/1972

Expiration Date

09/30/1988

City

PHOENIX

State

Zip

85022

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/05/2011