TYSON A COFFEY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021292

License Status

ACTIVE

Business

First Name

TYSON

Middle

Last Name

COFFEY

Business Name

TYSON A COFFEY

Original Issue Date

02/26/2015

Effective Date

09/06/2024

Expiration Date

09/30/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/06/2024