MATTHEW J GUTIERREZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006951

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

GUTIERREZ

Business Name

MATTHEW J GUTIERREZ

Original Issue Date

10/09/2014

Effective Date

07/29/2015

Expiration Date

09/30/2017

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017