GWEN K METTERNICH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000947

License Status

NOT RENEWED

Business

First Name

GWEN K

Last Name

METTERNICH

Business Name

GWEN K METTERNICH

Original Issue Date

11/12/1991

Effective Date

11/12/1991

Expiration Date

09/30/2005

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005