CARRIE L GILLIES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004476

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

Last Name

GILLIES

Business Name

CARRIE L GILLIES

Original Issue Date

09/23/2005

Effective Date

08/12/2009

Expiration Date

09/30/2011

City

STURGIS

State

Zip

57785

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

11/04/2011