TAMMY Y VANWYE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005472

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

VANWYE

Business Name

TAMMY Y VANWYE

Original Issue Date

07/29/2010

Effective Date

08/29/2019

Expiration Date

01/31/2022

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

05/19/2022