TARA MARIE DEWOLFE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017092

License Status

ACTIVE

Business

First Name

TARA

Middle

MARIE

Last Name

DEWOLFE

Business Name

TARA MARIE DEWOLFE

Original Issue Date

05/12/2009

Effective Date

09/22/2024

Expiration Date

09/30/2026

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

09/22/2024