TYLER R CARROLL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019497

License Status

ACTIVE

Business

First Name

TYLER

Middle

Last Name

CARROLL

Business Name

TYLER R CARROLL

Original Issue Date

09/05/2012

Effective Date

09/09/2024

Expiration Date

09/30/2026

City

BELVIDERE

State

Zip

61008

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

09/09/2024