JACQUELINE J GLEASON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006065

License Status

NOT RENEWED

Business

First Name

JACQUELINE J

Last Name

GLEASON

Business Name

JACQUELINE J GLEASON

Original Issue Date

04/19/1990

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

LAGUNA NIGUEL

State

Zip

92677

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/08/2006