License holder summary

TIMOTHY ALAN GANNON is a Physical Therapist Assistant licensed to practice in Pennsylvania. The address on file for TIMOTHY ALAN GANNON is Malaga NJ 08328. This licensed professional license is current. The license was granted 12/04/2014 and expired on 12/31/2016.

Pennsylvania

Department of State

TIMOTHY ALAN GANNON
Physical Therapist Assistant
License number
TE010477
Date granted
12/04/2014
Date expires
12/31/2016
Class
Physical Therapist Assistant
Status
Active
Address
Malaga NJ 08328
palicensing.org
ID 30078419
LAST UPDATED 2024-03-29 10:21:54 UTC

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