TARA M FITZANKO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010807

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

FITZANKO

Business Name

TARA M FITZANKO

Original Issue Date

09/18/1998

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/17/2024