GERALD DEAN PICA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002194

License Status

ACTIVE

Business

First Name

GERALD DEAN

Last Name

PICA

Business Name

GERALD DEAN PICA

Original Issue Date

05/21/1976

Effective Date

07/10/2024

Expiration Date

09/30/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/10/2024