CAROL MAE GORDON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002055

License Status

NOT RENEWED

Business

First Name

CAROL MAE

Last Name

GORDON

Business Name

CAROL MAE GORDON

Original Issue Date

12/22/1975

Effective Date

08/27/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60649

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/28/2022