MARY E GAEDE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005214

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

GAEDE

Business Name

MARY E GAEDE

Original Issue Date

07/21/2009

Effective Date

10/01/2023

Expiration Date

09/30/2025

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

12/30/2025