PAMELA J GROVES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001583

License Status

NOT RENEWED

Business

First Name

PAMELA J

Last Name

GROVES

Business Name

PAMELA J GROVES

Original Issue Date

05/26/1972

Effective Date

05/26/1972

Expiration Date

08/01/1974

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2005