LANDON JAMES TATE - Physical Therapist License in Illinois | # 160006481

LANDON JAMES TATE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006481

License Status

NOT RENEWED

Business

N

First Name

LANDON

Middle

JAMES

Last Name

TATE

Business Name

LANDON JAMES TATE

Original Issue Date

08/05/2013

Effective Date

12/23/2021

Expiration Date

09/30/2023

State

IL

Ever Disciplined

N

LastModifiedDate

02/02/2024