GREGORY M BELK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005877

License Status

INACTIVE

Business

First Name

GREGORY

Middle

Last Name

BELK

Business Name

GREGORY M BELK

Original Issue Date

11/16/2011

Effective Date

09/04/2013

Expiration Date

09/30/2015

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

07/06/2015