TIFFANY L BULLARD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004630

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

Last Name

BULLARD

Business Name

TIFFANY L BULLARD

BusinessDBA

DAVIS

Original Issue Date

09/05/2006

Effective Date

09/09/2025

Expiration Date

09/30/2027

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

09/09/2025