TRACEY J GIBSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004024

License Status

INACTIVE

Business

First Name

TRACEY

Middle

Last Name

GIBSON

Business Name

TRACEY J GIBSON

Original Issue Date

03/06/2002

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

DAFTER

State

Zip

49724

Ever Disciplined

LastModifiedDate

07/05/2007