TYLER DOUGHTY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006046

License Status

NOT RENEWED

Business

First Name

TYLER

Last Name

DOUGHTY

Business Name

TYLER DOUGHTY

Original Issue Date

08/08/2012

Effective Date

01/01/2022

Expiration Date

09/30/2023

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

02/02/2024