KELLI S GONZALEZ Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006084

License Status

INACTIVE

Business

First Name

KELLI S

Last Name

GONZALEZ

Business Name

KELLI S GONZALEZ

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

09/30/2004

City

SOUTHINGTON

State

Zip

06489

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/01/2006