SONYA A TATUM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005574

License Status

NOT RENEWED

Business

First Name

SONYA

Middle

Last Name

TATUM

Business Name

SONYA A TATUM

Original Issue Date

10/20/2010

Effective Date

10/14/2021

Expiration Date

09/30/2023

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

02/02/2024