NANCY A GORDEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000669

License Status

NOT RENEWED

Business

First Name

NANCY A

Last Name

GORDEN

Business Name

NANCY A GORDEN

Original Issue Date

10/02/1991

Effective Date

07/08/2013

Expiration Date

09/30/2015

City

BLUE MOUND

State

Zip

62513

County

MACON

Ever Disciplined

LastModifiedDate

11/03/2015