TARA LEA TITSWORTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007673

License Status

NOT RENEWED

Business

First Name

TARA

Middle

LEA

Last Name

TITSWORTH

Business Name

TARA LEA TITSWORTH

Original Issue Date

10/21/2016

Effective Date

10/21/2016

Expiration Date

09/30/2017

City

VINCENNES

State

Zip

47591

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017