AUTUMN K GILLIBRAND Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021382

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

Last Name

GILLIBRAND

Business Name

AUTUMN K GILLIBRAND

Original Issue Date

06/03/2015

Effective Date

09/22/2020

Expiration Date

09/30/2022

City

LEROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/28/2022