PATRICIA KAY TIETZ Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003004

License Status

INACTIVE

Business

First Name

PATRICIA KAY

Last Name

TIETZ

Business Name

PATRICIA KAY TIETZ

Original Issue Date

11/20/1979

Effective Date

11/20/1979

Expiration Date

09/30/1984

City

WESTERVILLE

State

Zip

43081

County

OHIO

Ever Disciplined

LastModifiedDate

10/14/2005