EVERETT LESLIE GRUELLE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000951

License Status

INACTIVE

Business

First Name

EVERETT LESLIE

Last Name

GRUELLE

Business Name

EVERETT LESLIE GRUELLE

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/14/2005