TYLER JAMES GREEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023854

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

JAMES

Last Name

GREEN

Business Name

TYLER JAMES GREEN

Original Issue Date

08/29/2018

Effective Date

08/29/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

01/14/2021