DEBRA TALLCOTT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004104

License Status

ACTIVE

Business

First Name

DEBRA

Last Name

TALLCOTT

Business Name

DEBRA TALLCOTT

Original Issue Date

12/20/1983

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

MENDON

State

Zip

62351

County

ADAMS

Ever Disciplined

LastModifiedDate

09/20/2024