TARA J JEPSON - Physical Therapist License in Utah | # 070013926

TARA J JEPSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013926

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

J

Last Name

JEPSON

Business Name

TARA J JEPSON

Original Issue Date

05/24/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

UT

Ever Disciplined

N

LastModifiedDate

11/08/2006