TAMMIE I BAKER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006859

License Status

NOT RENEWED

Business

First Name

TAMMIE

Middle

Last Name

BAKER

Business Name

TAMMIE I BAKER

Original Issue Date

08/11/2014

Effective Date

09/22/2015

Expiration Date

09/30/2017

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

11/01/2017