PAVEL GROSS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008302

License Status

INACTIVE

Business

First Name

PAVEL

Last Name

GROSS

Business Name

PAVEL GROSS

Original Issue Date

08/24/2018

Effective Date

11/16/2021

Expiration Date

09/30/2023

City

WHEATON

State

Zip

60189

Ever Disciplined

LastModifiedDate

09/17/2023