RACHAEL A GUMM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018273

License Status

NOT RENEWED

Business

First Name

RACHAEL

Middle

Last Name

GUMM

Business Name

RACHAEL A GUMM

Original Issue Date

01/25/2011

Effective Date

09/30/2014

Expiration Date

09/30/2016

City

HAMPTON

State

Zip

61256

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/26/2016