GWEN A MCCLURE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001920

License Status

NOT RENEWED

Business

First Name

GWEN A

Last Name

MCCLURE

Business Name

GWEN A MCCLURE

Original Issue Date

08/29/1994

Effective Date

08/29/1994

Expiration Date

09/30/2003

City

GREEN BAY

State

Zip

54304

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005