GWENDOLYN B LARSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012609

License Status

NOT RENEWED

Business

First Name

GWENDOLYN

Middle

Last Name

LARSEN

Business Name

GWENDOLYN B LARSEN

Original Issue Date

08/29/2001

Effective Date

12/29/2010

Expiration Date

09/30/2012

City

BROOKLINE

State

Zip

02445

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

01/16/2013