ANGELA J TANNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002374

License Status

ACTIVE

Business

First Name

ANGELA J

Last Name

TANNER

Business Name

ANGELA J TANNER

Original Issue Date

01/10/1996

Effective Date

09/11/2025

Expiration Date

09/30/2027

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/11/2025