TINA S TADLOCK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001935

License Status

INACTIVE

Business

First Name

TINA S

Last Name

TADLOCK

Business Name

TINA S TADLOCK

Original Issue Date

09/07/1994

Effective Date

09/07/1994

Expiration Date

09/30/1995

City

WEST DES MOINES

State

Zip

50265

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2005