ERIC LAMAR GATEWOOD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003124

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

LAMAR

Last Name

GATEWOOD

Business Name

ERIC LAMAR GATEWOOD

Original Issue Date

10/02/1998

Effective Date

10/02/1998

Expiration Date

09/30/1999

City

MERRILLVILLE

State

Zip

46410

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2005