TAMI RENEE MATHIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003243

License Status

NOT RENEWED

Business

First Name

TAMI

Middle

RENEE

Last Name

MATHIS

Business Name

TAMI RENEE MATHIS

Original Issue Date

12/17/1998

Effective Date

12/17/1998

Expiration Date

09/30/2003

City

HICKORY

State

Zip

42051

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/17/2005