KELLY M GOUSSET Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002729

License Status

NOT RENEWED

Business

First Name

KELLY M

Last Name

GOUSSET

Business Name

KELLY M GOUSSET

Original Issue Date

05/29/1997

Effective Date

09/24/2015

Expiration Date

09/30/2017

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

11/01/2017