GREGORY ROGER HALL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004140

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

ROGER

Last Name

HALL

Business Name

GREGORY ROGER HALL

Original Issue Date

12/23/2002

Effective Date

12/28/2021

Expiration Date

09/30/2023

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

02/02/2024