IAN P GWALTNEY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025946

License Status

ACTIVE

Business

First Name

IAN

Middle

Last Name

GWALTNEY

Business Name

IAN P GWALTNEY

Original Issue Date

06/08/2021

Effective Date

08/12/2024

Expiration Date

09/30/2026

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

08/12/2024