JEROME PANSACALA GIGANTE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018375

License Status

INACTIVE

Business

First Name

JEROME

Middle

PANSACALA

Last Name

GIGANTE

Business Name

JEROME PANSACALA GIGANTE

Original Issue Date

04/13/2011

Effective Date

09/05/2012

Expiration Date

09/30/2014

City

SHREVEPORT

State

Zip

71115

County

LOUISIANA

Ever Disciplined

LastModifiedDate

07/03/2014