JILLIAN R GIDCUMB Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016483

License Status

INACTIVE

Business

First Name

JILLIAN

Middle

Last Name

GIDCUMB

Business Name

JILLIAN R GIDCUMB

Original Issue Date

07/17/2008

Effective Date

09/01/2010

Expiration Date

09/30/2012

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

07/05/2012