GREGGORY GOODMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007718

License Status

NOT RENEWED

Business

First Name

GREGGORY

Last Name

GOODMAN

Business Name

GREGGORY GOODMAN

Original Issue Date

11/01/2016

Effective Date

08/22/2019

Expiration Date

01/31/2022

City

HAMPTON

State

Zip

61256

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/19/2022