TIMOTHY W DAVIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008400

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

DAVIS

Business Name

TIMOTHY W DAVIS

Original Issue Date

10/24/2018

Effective Date

10/24/2018

Expiration Date

09/30/2019

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

01/13/2020