MARY F GOGOL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001139

License Status

NOT RENEWED

Business

First Name

MARY F

Last Name

GOGOL

Business Name

MARY F GOGOL

Original Issue Date

12/13/1991

Effective Date

07/07/2017

Expiration Date

09/30/2019

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/13/2020