TAMMY SUE KOPJAS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009456

License Status

INACTIVE

Business

First Name

TAMMY

Middle

SUE

Last Name

KOPJAS

Business Name

TAMMY SUE KOPJAS

Original Issue Date

04/29/1996

Effective Date

07/12/2018

Expiration Date

09/30/2020

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2020