TYLER D GILLIAM - Physical Therapist License in Illinois | # 160007835

TYLER D GILLIAM

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007835

License Status

INACTIVE

Business

N

First Name

TYLER

Middle

D

Last Name

GILLIAM

Business Name

TYLER D GILLIAM

Original Issue Date

04/27/2017

Effective Date

09/17/2021

Expiration Date

09/30/2023

State

IL

Ever Disciplined

N

LastModifiedDate

06/28/2023