MARYCRIS M GANDIONCO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014577

License Status

INACTIVE

Business

First Name

MARYCRIS

Middle

Last Name

GANDIONCO

Business Name

MARYCRIS M GANDIONCO

Original Issue Date

08/29/2005

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

SAINT ROBERT

State

Zip

65584

County

PULASKI

Ever Disciplined

LastModifiedDate

07/10/2008