CAROL TIFFANY CHAN SO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014648

License Status

INACTIVE

Business

First Name

CAROL TIFFANY

Middle

CHAN

Last Name

Business Name

CAROL TIFFANY CHAN SO

Original Issue Date

09/21/2005

Effective Date

08/02/2012

Expiration Date

09/30/2014

City

NASHVILLE

State

Zip

37203

Ever Disciplined

LastModifiedDate

07/03/2014