TARA N LONG - Physical Therapist License in Georgia | # 070017775

TARA N LONG

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017775

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

N

Last Name

LONG

Business Name

TARA N LONG

Original Issue Date

05/13/2010

Effective Date

08/06/2012

Expiration Date

09/30/2014

State

GA

Ever Disciplined

N

LastModifiedDate

11/17/2014