TARA S WYNN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003217

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

WYNN

Business Name

TARA S WYNN

Original Issue Date

11/17/1998

Effective Date

09/30/2025

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/30/2025