PHILIP J GAMBON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006198

License Status

INACTIVE

Business

First Name

PHILIP J

Last Name

GAMBON

Business Name

PHILIP J GAMBON

Original Issue Date

09/15/1990

Effective Date

08/30/2012

Expiration Date

09/30/2014

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/03/2014