TARA JOANN GREGG Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024729

License Status

INACTIVE

Business

First Name

TARA

Middle

JOANN

Last Name

GREGG

Business Name

TARA JOANN GREGG

Original Issue Date

08/29/2019

Effective Date

08/06/2020

Expiration Date

09/30/2022

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

07/14/2022