AMY C GOLD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005515

License Status

NOT RENEWED

Business

First Name

AMY C

Last Name

GOLD

Business Name

AMY C GOLD

Original Issue Date

10/18/1988

Effective Date

10/18/1988

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005