TARA R DOLBEARE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004168

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

DOLBEARE

Business Name

TARA R DOLBEARE

Original Issue Date

03/26/2003

Effective Date

09/30/2019

Expiration Date

01/31/2022

City

PLEASANT HILL

State

Zip

62366

County

PIKE

Ever Disciplined

LastModifiedDate

05/19/2022