TRISHA GACKSTATTER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005501

License Status

NOT RENEWED

Business

First Name

TRISHA

Last Name

GACKSTATTER

Business Name

TRISHA GACKSTATTER

Original Issue Date

08/16/2010

Effective Date

09/09/2021

Expiration Date

09/30/2023

City

JANESVILLE

State

Zip

53546

Ever Disciplined

LastModifiedDate

02/02/2024