LARRY E TANNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006378

License Status

NOT RENEWED

Business

First Name

LARRY E

Last Name

TANNER

Business Name

LARRY E TANNER

Original Issue Date

02/13/1991

Effective Date

02/13/1991

Expiration Date

09/30/1998

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005