GARY F PEVNICK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001477

License Status

NOT RENEWED

Business

First Name

GARY F

Last Name

PEVNICK

Business Name

GARY F PEVNICK

Original Issue Date

01/01/1998

Effective Date

07/12/2016

Expiration Date

09/30/2018

City

MARINA DEL REY

State

Zip

90292

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/05/2018