DOUGLAS W GILL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004459

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

GILL

Business Name

DOUGLAS W GILL

Original Issue Date

09/02/2005

Effective Date

09/16/2019

Expiration Date

01/31/2022

City

AVONDALE

State

Zip

85323

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022