DOREEN EVELINE TIREVOLD Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016871

License Status

INACTIVE

Business

First Name

DOREEN

Middle

EVELINE

Last Name

TIREVOLD

Business Name

DOREEN EVELINE TIREVOLD

Original Issue Date

01/12/2009

Effective Date

08/06/2012

Expiration Date

09/30/2014

City

CHARLESTON

State

Zip

29412

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

07/03/2014