GERALD C VAN DYKE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004521

License Status

INACTIVE

Business

First Name

GERALD C

Last Name

VAN DYKE

Business Name

GERALD C VAN DYKE

Original Issue Date

05/16/1985

Effective Date

05/16/1985

Expiration Date

09/30/1992

City

LA SELVA BEACH

State

Zip

95076

Ever Disciplined

LastModifiedDate

10/14/2005