GAIL L RUSSELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004226

License Status

NOT RENEWED

Business

First Name

GAIL

Middle

Last Name

RUSSELL

Business Name

GAIL L RUSSELL

Original Issue Date

11/17/2003

Effective Date

10/01/2021

Expiration Date

09/30/2023

City

OBLONG

State

Zip

62449

County

CRAWFORD

Ever Disciplined

LastModifiedDate

02/02/2024