KRISTEN SUE GIBBS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005248

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

SUE

Last Name

GIBBS

Business Name

KRISTEN SUE GIBBS

Original Issue Date

08/12/2009

Effective Date

12/28/2021

Expiration Date

09/30/2023

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

02/02/2024