PATRICIA L GOVERNILE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001772

License Status

INACTIVE

Business

First Name

PATRICIA L

Last Name

GOVERNILE

Business Name

PATRICIA L GOVERNILE

Original Issue Date

12/20/1973

Effective Date

12/20/1973

Expiration Date

09/30/2002

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/13/2010