TIFFANY L CAMPBELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004596

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

CAMPBELL

Business Name

TIFFANY L CAMPBELL

Original Issue Date

06/30/2006

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

01/13/2020