MARY E GORMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007312

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

GORMAN

Business Name

MARY E GORMAN

Original Issue Date

01/06/1993

Effective Date

01/06/1993

Expiration Date

09/30/2000

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005