GINA M REUILLON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012022

License Status

NOT RENEWED

Business

First Name

GINA

Middle

Last Name

REUILLON

Business Name

GINA M REUILLON

Original Issue Date

08/03/2000

Effective Date

08/03/2000

Expiration Date

09/30/2002

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005