KRISTIN N GARDNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006809

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

GARDNER

Business Name

KRISTIN N GARDNER

Original Issue Date

08/05/2014

Effective Date

09/16/2015

Expiration Date

09/30/2017

City

GREENFIELD

State

Zip

46140

Ever Disciplined

LastModifiedDate

11/01/2017