GRAY W LANDT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005098

License Status

INACTIVE

Business

First Name

GRAY

Middle

Last Name

LANDT

Business Name

GRAY W LANDT

Original Issue Date

11/03/2008

Effective Date

08/07/2017

Expiration Date

09/30/2019

City

WENTZVILLE

State

Zip

63385

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/04/2019