LESLIE M GOEDDE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010281

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

GOEDDE

Business Name

LESLIE M GOEDDE

Original Issue Date

10/09/1997

Effective Date

09/12/2014

Expiration Date

09/30/2016

City

DIETERICH

State

Zip

62424

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

11/26/2016