TARA L GRAU Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004136

License Status

INACTIVE

Business

First Name

TARA

Middle

Last Name

GRAU

Business Name

TARA L GRAU

Original Issue Date

12/09/2002

Effective Date

09/11/2017

Expiration Date

09/30/2019

City

MARISSA

State

Zip

62257

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/04/2019