TARA J HACKNEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020547

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

HACKNEY

Business Name

TARA J HACKNEY

Original Issue Date

02/19/2014

Effective Date

08/18/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018