TRISHA B BASS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012779

License Status

ACTIVE

Business

First Name

TRISHA

Middle

Last Name

BASS

Business Name

TRISHA B BASS

Original Issue Date

12/06/2001

Effective Date

09/22/2024

Expiration Date

09/30/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/22/2024