DOREEN EVELINE TIREVOLD - Physical Therapist License in South Carolina | # 070016871

DOREEN EVELINE TIREVOLD

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016871

License Status

INACTIVE

Business

N

First Name

DOREEN

Middle

EVELINE

Last Name

TIREVOLD

Business Name

DOREEN EVELINE TIREVOLD

Original Issue Date

01/12/2009

Effective Date

08/06/2012

Expiration Date

09/30/2014

State

SC

Ever Disciplined

N

LastModifiedDate

07/03/2014