JOSEPH S DE GONIA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002435

License Status

NOT RENEWED

Business

First Name

JOSEPH S

Last Name

DE GONIA

Business Name

JOSEPH S DE GONIA

Original Issue Date

05/02/1996

Effective Date

05/02/1996

Expiration Date

09/30/2003

City

FLORISSANT

State

Zip

63031

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005