JENNY A GIBSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002502

License Status

NOT RENEWED

Business

First Name

JENNY A

Last Name

GIBSON

Business Name

JENNY A GIBSON

Original Issue Date

10/10/1996

Effective Date

10/03/2021

Expiration Date

09/30/2023

City

PETERSBURG

State

Zip

62675

Ever Disciplined

LastModifiedDate

02/02/2024