TYRONE OLIVER R TEJAM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019598

License Status

ACTIVE

Business

First Name

TYRONE OLIVER

Middle

Last Name

TEJAM

Business Name

TYRONE OLIVER R TEJAM

Original Issue Date

11/19/2012

Effective Date

07/21/2024

Expiration Date

09/30/2026

City

GOSHEN

State

Zip

46528

County

INDIANA

Ever Disciplined

LastModifiedDate

07/21/2024