JOAN M GENTILE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001600

License Status

NOT RENEWED

Business

First Name

JOAN M

Last Name

GENTILE

Business Name

JOAN M GENTILE

Original Issue Date

11/29/1972

Effective Date

11/29/1972

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/14/2005