TIFFANY SHAUNTE JACKSON-PONDER - Physical Therapist License in Oklahoma | # 160005716

TIFFANY SHAUNTE JACKSON-PONDER

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005716

License Status

INACTIVE

Business

N

First Name

TIFFANY

Middle

SHAUNTE

Last Name

JACKSON-PONDER

Business Name

TIFFANY SHAUNTE JACKSON-PONDER

Original Issue Date

08/01/2011

Effective Date

08/01/2011

Expiration Date

09/30/2013

State

OK

Ever Disciplined

N

LastModifiedDate

07/03/2013