SUZANNE T GIBSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001340

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

GIBSON

Business Name

SUZANNE T GIBSON

Original Issue Date

01/14/1992

Effective Date

09/22/2015

Expiration Date

09/30/2017

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017