GINA M RICHARDSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001394

License Status

NOT RENEWED

Business

First Name

GINA M

Last Name

RICHARDSON

Business Name

GINA M RICHARDSON

Original Issue Date

01/29/1992

Effective Date

01/29/1992

Expiration Date

09/30/2005

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005