ANDREA D GALLANT QUINTANA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009531

License Status

NOT RENEWED

Business

First Name

ANDREA D

Middle

GALLANT

Last Name

QUINTANA

Business Name

ANDREA D GALLANT QUINTANA

Original Issue Date

05/30/1996

Effective Date

09/20/2012

Expiration Date

09/30/2014

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014