BRIAN M GENTRY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013538

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

GENTRY

Business Name

BRIAN M GENTRY

Original Issue Date

06/16/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006