MATTHEW R GANNOTT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018606

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

GANNOTT

Business Name

MATTHEW R GANNOTT

Original Issue Date

07/15/2011

Effective Date

08/13/2012

Expiration Date

09/30/2014

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014