HEATHER GENTRY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009177

License Status

NOT RENEWED

Business

First Name

HEATHER

Last Name

GENTRY

Business Name

HEATHER GENTRY

Original Issue Date

01/13/2021

Effective Date

01/13/2021

Expiration Date

01/31/2022

City

PADDOCK LAKE

State

Zip

53168

Ever Disciplined

LastModifiedDate

05/19/2022