TED A GALLUP Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013300

License Status

NOT RENEWED

Business

First Name

TED

Middle

Last Name

GALLUP

Business Name

TED A GALLUP

Original Issue Date

11/15/2002

Effective Date

08/31/2020

Expiration Date

09/30/2022

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/28/2022