TAVAE DARNELL LEWIS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009470

License Status

ACTIVE

Business

First Name

TAVAE

Middle

DARNELL

Last Name

LEWIS

Business Name

TAVAE DARNELL LEWIS

Original Issue Date

11/10/2021

Effective Date

09/29/2025

Expiration Date

09/30/2027

City

CARTERVILLE

State

Zip

62918

Ever Disciplined

LastModifiedDate

09/29/2025