PATRICE L GOUY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007156

License Status

INACTIVE

Business

First Name

PATRICE L

Last Name

GOUY

Business Name

PATRICE L GOUY

Original Issue Date

09/29/1992

Effective Date

09/02/2016

Expiration Date

09/30/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/07/2018