LYNN P GORSUCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000702

License Status

NOT RENEWED

Business

First Name

LYNN P

Last Name

GORSUCH

Business Name

LYNN P GORSUCH

Original Issue Date

10/09/1991

Effective Date

12/30/2021

Expiration Date

09/30/2023

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

02/02/2024