R NEAL TANNER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003002

License Status

INACTIVE

Business

First Name

R NEAL

Last Name

TANNER

Business Name

R NEAL TANNER

Original Issue Date

11/20/1979

Effective Date

11/20/1979

Expiration Date

09/30/2004

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/01/2006