SAMANTHA L GIBBS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007831

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

GIBBS

Business Name

SAMANTHA L GIBBS

Original Issue Date

04/26/2017

Effective Date

09/25/2017

Expiration Date

09/30/2019

City

CROWN POINT

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

01/13/2020