TAMARA J BITZENHOFER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000751

License Status

NOT RENEWED

Business

First Name

TAMARA J

Last Name

BITZENHOFER

Business Name

TAMARA J BITZENHOFER

Original Issue Date

10/16/1991

Effective Date

09/16/2019

Expiration Date

01/31/2022

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/19/2022