MARCIE L GANSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011155

License Status

ACTIVE

Business

First Name

MARCIE

Middle

Last Name

GANSON

Business Name

MARCIE L GANSON

Original Issue Date

02/24/1999

Effective Date

07/17/2024

Expiration Date

09/30/2026

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

07/17/2024