GINA M JOHANNESMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009794

License Status

INACTIVE

Business

First Name

GINA M

Last Name

JOHANNESMAN

Business Name

GINA M JOHANNESMAN

Original Issue Date

11/13/1996

Effective Date

11/13/1996

Expiration Date

09/30/1998

City

ST PETERS

State

Zip

63376

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005