GAY DICK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001929

License Status

NOT RENEWED

Business

First Name

GAY

Last Name

DICK

Business Name

GAY DICK

Original Issue Date

12/22/1974

Effective Date

12/22/1974

Expiration Date

09/30/1988

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/14/2005