JELENA KRSTIC GORE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021552

License Status

INACTIVE

Business

First Name

JELENA

Middle

KRSTIC

Last Name

GORE

Business Name

JELENA KRSTIC GORE

Original Issue Date

08/10/2015

Effective Date

06/30/2022

Expiration Date

09/30/2024

City

CHESTERTON

State

Zip

46304

Ever Disciplined

LastModifiedDate

09/04/2024