TINA GAIL WILLS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006944

License Status

NOT RENEWED

Business

First Name

TINA

Middle

GAIL

Last Name

WILLS

Business Name

TINA GAIL WILLS

Original Issue Date

09/18/2014

Effective Date

09/11/2017

Expiration Date

09/30/2019

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

01/13/2020