TIA D THOMPSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005584

License Status

NOT RENEWED

Business

First Name

TIA

Middle

Last Name

THOMPSON

Business Name

TIA D THOMPSON

Original Issue Date

11/01/2010

Effective Date

09/28/2015

Expiration Date

09/30/2017

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/01/2017