DENA E GAUDIO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004008

License Status

NOT RENEWED

Business

First Name

DENA

Middle

Last Name

GAUDIO

Business Name

DENA E GAUDIO

Original Issue Date

02/06/2002

Effective Date

12/23/2010

Expiration Date

09/30/2011

City

FISHERS

State

Zip

46038

County

INDIANA

Ever Disciplined

LastModifiedDate

11/04/2011