TIFFANY PHAETURA CLENDENING Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012562

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

PHAETURA

Last Name

CLENDENING

Business Name

TIFFANY PHAETURA CLENDENING

Original Issue Date

08/02/2001

Effective Date

09/07/2024

Expiration Date

09/30/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2024