ANDREA R GLEASON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019939

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

GLEASON

Business Name

ANDREA R GLEASON

Original Issue Date

07/22/2013

Effective Date

07/22/2013

Expiration Date

09/30/2014

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014