TIFFANY DANIELLE WATSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013311

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

DANIELLE

Last Name

WATSON

Business Name

TIFFANY DANIELLE WATSON

Original Issue Date

11/21/2002

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

11/08/2006