TARA A SUDHOLT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020532

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

SUDHOLT

Business Name

TARA A SUDHOLT

Original Issue Date

02/18/2014

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

GERMANTOWN

State

Zip

62245

County

CLINTON

Ever Disciplined

LastModifiedDate

09/27/2024