JUSTIN EDWARD TAMMANY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016808

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

EDWARD

Last Name

TAMMANY

Business Name

JUSTIN EDWARD TAMMANY

Original Issue Date

11/19/2008

Effective Date

10/01/2012

Expiration Date

09/30/2014

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

11/17/2014