TARA L CARMICHAEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008436

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

CARMICHAEL

Business Name

TARA L CARMICHAEL

Original Issue Date

10/25/2018

Effective Date

12/10/2021

Expiration Date

09/30/2023

City

WALTONVILLE

State

Zip

62894

County

JEFFERSON

Ever Disciplined

LastModifiedDate

02/02/2024