BART M TATE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002873

License Status

NOT RENEWED

Business

First Name

BART M

Last Name

TATE

Business Name

BART M TATE

Original Issue Date

11/10/1997

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/25/2008