RAE A GAUDET Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012175

License Status

NOT RENEWED

Business

First Name

RAE

Middle

Last Name

GAUDET

Business Name

RAE A GAUDET

Original Issue Date

10/24/2000

Effective Date

10/24/2000

Expiration Date

09/30/2002

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005