GWEN GRAYSTONE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008042

License Status

INACTIVE

Business

First Name

GWEN

Last Name

GRAYSTONE

Business Name

GWEN GRAYSTONE

Original Issue Date

01/26/1994

Effective Date

01/26/1994

Expiration Date

09/30/2002

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005