ASHLEY L GLEASON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012407

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

GLEASON

Business Name

ASHLEY L GLEASON

Original Issue Date

03/28/2001

Effective Date

03/28/2001

Expiration Date

09/30/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005