MYRA J GUDEMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013755

License Status

NOT RENEWED

Business

First Name

MYRA

Middle

Last Name

GUDEMAN

Business Name

MYRA J GUDEMAN

Original Issue Date

12/30/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

SEATTLE

State

Zip

98107

Ever Disciplined

LastModifiedDate

11/08/2006