MICHAEL JUSTIN GORMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016739

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JUSTIN

Last Name

GORMAN

Business Name

MICHAEL JUSTIN GORMAN

Original Issue Date

10/01/2008

Effective Date

10/02/2012

Expiration Date

09/30/2014

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

11/17/2014