LELAND T GOUGH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021201

License Status

ACTIVE

Business

First Name

LELAND

Middle

Last Name

GOUGH

Business Name

LELAND T GOUGH

Original Issue Date

12/03/2014

Effective Date

07/08/2024

Expiration Date

09/30/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/08/2024