TYLER D GILLIAM Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007835

License Status

INACTIVE

Business

First Name

TYLER

Middle

Last Name

GILLIAM

Business Name

TYLER D GILLIAM

Original Issue Date

04/27/2017

Effective Date

09/17/2021

Expiration Date

09/30/2023

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

06/28/2023