MARYELLEN TARGONSKI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025965

License Status

NOT RENEWED

Business

First Name

MARYELLEN

Last Name

TARGONSKI

Business Name

MARYELLEN TARGONSKI

Original Issue Date

06/15/2021

Effective Date

06/15/2021

Expiration Date

09/30/2022

City

GASTONIA

State

Zip

28056

Ever Disciplined

LastModifiedDate

11/28/2022