MARY G TESAR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000642

License Status

NOT RENEWED

Business

First Name

MARY G

Last Name

TESAR

Business Name

MARY G TESAR

Original Issue Date

09/30/1991

Effective Date

08/24/2009

Expiration Date

09/30/2011

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/04/2011