GREGORY J KONIUSZY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007206

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

KONIUSZY

Business Name

GREGORY J KONIUSZY

Original Issue Date

07/30/2015

Effective Date

07/30/2015

Expiration Date

09/30/2017

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017