TARA A DRISCOL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016251

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

DRISCOL

Business Name

TARA A DRISCOL

BusinessDBA

SPAUR

Original Issue Date

03/04/2008

Effective Date

08/20/2018

Expiration Date

09/30/2020

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021