TAMBRA D MATTHEWS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004613

License Status

NOT RENEWED

Business

First Name

TAMBRA

Middle

Last Name

MATTHEWS

Business Name

TAMBRA D MATTHEWS

Original Issue Date

08/21/2006

Effective Date

09/11/2015

Expiration Date

09/30/2017

City

CISNE

State

Zip

62823

County

WAYNE

Ever Disciplined

LastModifiedDate

11/01/2017