GWEN R GOLA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013181

License Status

NOT RENEWED

Business

First Name

GWEN

Middle

Last Name

GOLA

Business Name

GWEN R GOLA

Original Issue Date

08/30/2002

Effective Date

10/03/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018