MAUREEN LEE TALLMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003186

License Status

NOT RENEWED

Business

First Name

MAUREEN

Middle

LEE

Last Name

TALLMAN

Business Name

MAUREEN LEE TALLMAN

Original Issue Date

10/29/1998

Effective Date

08/17/2017

Expiration Date

09/30/2019

City

CANTON

State

Zip

63435

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/13/2020