CAROL J GRONEWOLD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003858

License Status

NOT RENEWED

Business

First Name

CAROL J

Last Name

GRONEWOLD

Business Name

CAROL J GRONEWOLD

Original Issue Date

07/26/2001

Effective Date

07/30/2015

Expiration Date

09/30/2017

City

URSA

State

Zip

62376

County

ADAMS

Ever Disciplined

LastModifiedDate

11/01/2017