TIMOTHY JORDAN GOTSHALL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026562

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

JORDAN

Last Name

GOTSHALL

Business Name

TIMOTHY JORDAN GOTSHALL

Original Issue Date

05/03/2022

Effective Date

05/03/2022

Expiration Date

09/30/2022

City

SAGLE

State

Zip

83860

Ever Disciplined

LastModifiedDate

11/28/2022