LISA D GUMMERMAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016081

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

GUMMERMAN

Business Name

LISA D GUMMERMAN

Original Issue Date

10/17/2007

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/16/2024