JEROD DANIEL GARD - Physical Therapist License in Illinois | # 070017443

JEROD DANIEL GARD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017443

License Status

NOT RENEWED

Business

N

First Name

JEROD

Middle

DANIEL

Last Name

GARD

Business Name

JEROD DANIEL GARD

Original Issue Date

09/23/2009

Effective Date

08/29/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014