DAVID ANTHONY GILLIS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013290

License Status

INACTIVE

Business

First Name

DAVID

Middle

ANTHONY

Last Name

GILLIS

Business Name

DAVID ANTHONY GILLIS

Original Issue Date

11/13/2002

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

NEW BERLIN

State

Zip

53146

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/13/2006