DAWN M TIESMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003611

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

TIESMAN

Business Name

DAWN M TIESMAN

Original Issue Date

05/12/2000

Effective Date

07/07/2016

Expiration Date

09/30/2017

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/01/2017