KORY D TIEMAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025211

License Status

ACTIVE

Business

First Name

KORY

Middle

Last Name

TIEMAN

Business Name

KORY D TIEMAN

Original Issue Date

06/18/2020

Effective Date

09/22/2024

Expiration Date

09/30/2026

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/22/2024